AGS Beers Criteria Practice Test

These questions are part of the practice quiz. Start practicing

• Which genitourinary medication is inappropriate for nocturia due to hyponatremia risk?
• Beers Criteria recommendations for dementia-related behavioral symptoms state that antipsychotics should be used:
• In patients with CrCl less than 30 mL/min, which drug should be avoided due to risks of pulmonary toxicity, hepatotoxicity, and peripheral neuropathy with long-term use?
• Theophylline with ciprofloxacin increases risk of toxicity due to decreased clearance. What is the recommended action?
• Which of the following is NOT among the Beers Criteria listed as having strong anticholinergic properties among first-generation antihistamines?
• For prasugrel use in adults 75 years or older, what dosing consideration does Beers Criteria suggest?
• In older adults with atrial fibrillation or heart failure, the recommended maximum daily dosage for digoxin when used in older adults is:
• Which of the following is inappropriate for older adults due to concerns about cardiac effects and safer alternatives available?
• In CrCl less than 30 mL/min, what is the recommended action for probenecid?
• Which medication class should be avoided in older adults with syncope due to orthostatic hypotension?
• Which sleep aids are listed among inappropriate medications for delirium due to CNS effects?
• Beers Criteria are guidelines developed by the American Geriatrics Society to improve the safety of prescribing medications for which population?
• Which drug requires a dose reduction when CrCl is <30 mL/min?
• Dextromethorphan-quinidine is listed as potentially inappropriate in older adults. What is its primary clinical use?
• Which of the following is an antimuscarinic used for urinary incontinence with strong anticholinergic properties?
• What is a goal of the Beers Criteria?
• For CrCl < 60 mL/min, which drug should have its dose reduced due to CNS adverse effects?
• Trospium is best described as which type?
• Growth hormone: avoid except for patients rigorously diagnosed with evidence-based criteria with GH deficiency due to established etiology. Which option best reflects this guidance?
• In delirium management, if corticosteroids are needed, what dosing approach is recommended?
• Which antidiabetic drug class is inappropriate in heart failure due to risk of fluid retention?
• Which of the following is an antispasmodic with strong anticholinergic properties?
• Which antiepileptic requires dose reduction when CrCl ≤ 80 mL/min?
• Nitrofurantoin CrCl threshold for avoidance is below which value?
• For older adults with nonvalvular atrial fibrillation or VTE, which medication is least preferred as initial anticoagulation due to higher major bleeding risk and similar or lower effectiveness compared with DOACs?
• Clidinium-Chlordiazepoxide is best described as which type?
• What is the general Beers Criteria recommendation regarding the number of CNS-active drugs in a patient?
• Which NSAID is explicitly associated with higher GI bleed risk and AKI and should be avoided?
• Which strategy is recommended when non-selective peripheral alpha-1 blockers are used with loop diuretics?
• Dextromethorphan-quinidine should be used with caution for older adults because:
• Which medication should be avoided in CrCl <30 mL/min due to risk of hyperkalemia and hyponatremia?
• Which diuretic is specifically associated with hyperkalemia and hyponatremia in CrCl < 30?
• The Beers Criteria approach to prescribing for older adults emphasizes:
• Sulfamethoxazole-trimethoprim should be used with caution in older adults who are on ACE inhibitors, ARBs, or ARNIs and have decreased creatinine clearance because of risk of:
• Which drug combination is explicitly listed as to avoid due to overdose risk in older adults?
• Which of the following GI medications has strong anticholinergic activity?
• Which antipsychotic is less likely to precipitate worsening of Parkinson disease symptoms, and is often considered safer in this context?
• Why is nitrofurantoin considered inappropriate for use in older adults?
• Which drug is not recommended as first-line therapy for atrial fibrillation or heart failure in older adults?
• Fondaparinux should be avoided when CrCl is below what value?
• For a CrCl of 15-29 mL/min, what is the recommended action for sulfamethoxazole-trimethoprim?
• Which class of diabetes medications is listed as potentially inappropriate to be used with caution in older adults?
• Which of the following is NOT a Z-drug?
• Under Beers Criteria, which category includes cimetidine, famotidine, and nizatidine?
• Which statement about desiccated thyroid is correct?
• Beers Criteria audience includes 65 years or older in which settings?
• Benztropine is best described as which type of agent?
• Central alpha agonists such as clonidine are inappropriate for hypertension in older adults due to risk of CNS effects and bradycardia. Which statement reflects this guidance?
• Which statement best reflects Beers Criteria guidance on prasugrel and ticagrelor use in adults aged 75 years or older?
• Which antidepressants are listed as inappropriate for older adults with history of falls/fractures?
• Which medication is included in the non-COX-2 NSAIDs group considered inappropriate for older adults?
• Among the following analgesics, which is listed as potentially inappropriate for older adults due to risks such as delirium or falls?
• Which of the following medications is NOT listed as potentially inappropriate or to be used with caution in older adults according to Beers criteria?
• The Beers Criteria is intended for use in which population?
• Which skeletal muscle relaxant is a Beers Criteria target for avoidance in older adults?
• Which first-generation antihistamine is listed with strong anticholinergic properties and is commonly used as a sleep aid?
• Which medication is inappropriate for hypertension in older adults as a nonselective peripheral alpha-1 blocker?
• Meprobamate in older adults is discouraged due to:
• Nitrofurantoin should be avoided in individuals with CrCl below what threshold?
• Rivaroxaban should be avoided when CrCl is below which threshold?
• Beers Criteria guidance on SGLT2 inhibitors includes which monitoring emphasis?
• Which antiepileptic drug is listed as potentially inappropriate and should be used with caution in older adults?
• Which cholinesterase inhibitor should be avoided in older adults whose syncope may be due to bradycardia?
• Which medication–drug interaction is associated with QT prolongation concerns in heart failure?
• In patients with Parkinson disease, which antiemetic is considered inappropriate because it can worsen parkinsonian symptoms?
• Which of the following is a skeletal muscle relaxant with strong anticholinergic properties?
• In older adults, which practice about aspirin for primary prevention is inappropriate?
• Which medication is explicitly listed as potentially inappropriate for older adults in the Beers Criteria?
• Which statement best reflects Beers Criteria stance on 1st and 2nd generation antipsychotics in older adults?
• Which class should be avoided chronically in older adults due to GI bleed risk, unless a protective agent is used?
• Which combination is an example of a Beers Criteria interaction to avoid involving lithium?
• In dementia or cognitive impairment, which drug class is listed as inappropriate due to adverse CNS effects and stroke risk with chronic use?
• Which endocrine medication increases risk of thrombotic events and possibly death in older adults with minimal effect on weight?
• In older adults with dementia, antipsychotics are associated with an increased risk of:
• Oxybutynin is best described as which type?
• What is the recommended action for dofetilide when CrCl is 20-59 mL/min?
• Which drug requires dose reduction when CrCl ≤ 80 mL/min?
• Which statement is true for dabigatran with CrCl between 15-30 mL/min?
• Central alpha agonists are considered inappropriate for hypertension treatment in older adults due to CNS effects and bradycardia. Which drug is a central alpha agonist?
• For rivaroxaban, what is the dosing recommendation for CrCl between 15-50 mL/min?
• Which class of analgesics should be avoided when CrCl < 30 mL/min due to risk of AKI?
• In older adults with atrial fibrillation or heart failure, which statement about digoxin is correct?
• For patients on lithium who also take loop diuretics, what is the advised management?
• For CrCl < 60 mL/min, which drug should have its dose reduced due to CNS adverse effects?
• Opioids combined with gabapentin or pregabalin should be avoided in older adults, except in which scenario?
• Dabigatran should be avoided when CrCl is <30 mL/min; for CrCl 15-30 mL/min there is a labeling dose based on PK data. Which drug is this?
• Barbiturates should be avoided as a sleep aid in older adults because they are:
• Rationale for avoiding antihistamines in older adults includes which of the following?
• If a sulfonylurea is used in older adults, which is preferred over long-acting agents?
• Which factor increases GI bleeding risk when using non-COX-2 NSAIDs?
• Compared with apixaban, which direct oral anticoagulant has a higher risk of GI bleeding in older adults when used long-term for nonvalvular AF or VTE?
• Z-drugs, including eszopiclone, zaleplon, and zolpidem, are generally avoided in older adults because they:
• When starting antidepressants, antiepileptics, antipsychotics, diuretics, or tramadol in older adults, which precaution is emphasized?
• Tolterodine is best described as which type?
• Beers Criteria recommends avoiding routinely using two or more of which category of medications due to hyperkalemia risk in CKD stage 3a or higher?
• For CrCl < 30 mL/min, tramadol dosing rules for immediate-release versus extended-release formulations are:
• Which antidepressant is listed as having strong anticholinergic properties?
• Which antipsychotic is among those considered less likely to worsen Parkinson disease symptoms, and is listed as an exception in Beers criteria?
• Mineral oil is inappropriate for older adults because of aspiration risk. Which option correctly lists a safer alternative?
• Dipyridamole is inappropriate for use in older adults because it can cause orthostatic hypotension, and a form is acceptable only for cardiac stress testing. Which medication fits this description?
• Which statement correctly reflects Beers Criteria regarding dual RAS blockade in CKD stage 3a or higher?
• In CrCl less than 50 mL/min, what adjustment is recommended for famotidine?
• Under what condition is scheduled PPI use beyond 8 weeks justified in older adults?
• Among sulfonylureas, which is preferred if a sulfonylurea is used in older adults?
• Which statement about metoclopramide use in older adults with gastroparesis is correct?
• Edoxaban should be avoided if CrCl is below 15 or above 95 mL/min. Which statement is true?
• Which medication should be avoided when CrCl < 30 mL/min because it increases GI adverse events?
• In Beers Criteria guidance, at what threshold of concurrent CNS-active medications does the risk of falls and fractures notably increase?
• Which GI medication is known for strong anticholinergic activity and is therefore inappropriate for older adults?
• Dipyridamole is inappropriate for routine use in older adults, but the IV formulation is acceptable for which purpose?
• In patients with CrCl < 30 mL/min, which diuretic should be avoided due to hyperkalemia risk?
• Which diuretic should be avoided under CrCl < 30 mL/min due to hyperkalemia risk?
• In men with lower urinary symptoms/BPH, which drug class is strongly anticholinergic and should be avoided?
• Which statement best reflects Beers Criteria guidance on opioids and benzodiazepines in older adults?
• Compared with DOACs, warfarin in older adults with nonvalvular AF or VTE generally has which bleeding risk and effectiveness profile?
• For probenecid in CrCl less than 30 mL/min, what is the rationale behind avoiding it?
• Scopolamine is best described as which type?
• Antidepressants with strong anticholinergic activity are considered inappropriate for older adults because they:
• Which is inappropriate for use in older adults due to risk of hypotension when given as an immediate-release formulation?
• Fondaparinux should be avoided if CrCl is below what value?
• Deprescribing should be considered for older women already using which class of medications?
• What factor increases the risk of extrapyramidal symptoms with metoclopramide in older adults?
• Non-COX-2 NSAIDs can increase BP and cause kidney injury. Which factor would increase NSAID-related kidney injury risk?
• For patients with a history of gastric or duodenal ulcers, which statement about NSAID use is recommended?
• Which drug interaction increases urinary incontinence risk in older women?
• Which antiarrhythmic should be avoided as first-line therapy for atrial fibrillation unless the patient has heart failure or substantial LVH?
• Theophylline with cimetidine increases the risk of what?
• Phenytoin combined with sulfamethoxazole-trimethoprim is associated with which risk?
• What adjustment is advised for enoxaparin when CrCl is less than 30 mL/min?
• Which antihistamine is considered inappropriate for use in older adults due to anticholinergic effects?
• Which statement best describes rivaroxaban in the context of long-term treatment of AF or VTE in older adults?
• Which statement is NOT a component of Beers Criteria?
• For ciprofloxacin when CrCl <30, what is typically recommended?
• Benzodiazepines (such as diazepam, lorazepam, temazepam) in older adults should be avoided because they:
• Ergoloid mesylates are avoided in older adults mainly due to:
• Which drug should be avoided in older adults with impaired kidney function (eGFR < 60 mL/min) due to CNS toxicity risk?
• Which medication is not listed as inappropriate for delirium?
• Clozapine is best described as which type of agent?
• Which GI antispasmodic is inappropriate for older adults due to strong anticholinergic activity?
• In CrCl < 30 mL/min, which drug should be avoided because it can cause hyperkalemia and hyponatremia?
• Which insulin regimen is inappropriate due to higher risk of hypoglycemia and no improvement in hyperglycemia management regardless of care setting?
• Which medication is listed as potentially inappropriate for older adults?
• Ciprofloxacin dosing adjustments are typically required when the patient’s creatinine clearance falls below which value?
• Which DOAC has guidance to reduce the dose when CrCl is 15-50 mL/min, following manufacturer dosing for indication-specific use?
• When a patient is taking lithium with ACE inhibitors, ARBs, or ARNI, what is the recommended course of action?
• Which of the following is NOT a CNS-active drug class listed in the Beers polypharmacy context?
• Which medication is listed as potentially inappropriate for use in older adults?
• Which skeletal muscle relaxant is Beers Criteria appropriate to avoid for older adults?
• In the behavioral management of dementia, antipsychotics should be avoided unless which condition is met?
• Which of the following is an antiparkinsonian agent with strong anticholinergic properties?
• In renal impairment, colchicine can cause which toxicities?
• For CrCl < 30 mL/min, tramadol immediate-release dosing should be:
• Edoxaban should be reduced when CrCl is in which range?
• In CrCl ≤ 80 mL/min, which drug requires dose reduction due to CNS adverse effects?
• Barbiturates (butalbital, phenobarbital, primidone) in older adults are:
• Which antidepressant is listed with strong anticholinergic properties and is noted with a dosing threshold of greater than 6 mg per day?
• Beers Criteria highlights a risk associated with using three or more CNS-active drugs in older adults. What is this risk?
• Which endocrine medication is not recommended systemically due to carcinogenic potential and lack of cardioprotective effect, though vaginal estrogens may be safe?
• In older adults, which medication type is listed as inappropriate due to delirium risk?
• Which of the following is an antipsychotic with strong anticholinergic properties?
• Which of the following is NOT listed as an inappropriate medication for older adults with a history of falls or fractures?
• Which endocrine medication is considered inappropriate for older adults due to potential for cardiac problems and risks in men with prostate cancer?
• Which opioid is discouraged in older adults due to risk of delirium and neurotoxicity?
• Which first-generation antihistamine is listed as having strong anticholinergic properties?
• Why is combining two anticholinergic medications discouraged in older adults?
• What is a primary concern with GI antispasmodics that have strong anticholinergic properties in older adults?
• Which antidepressant is explicitly listed among potentially inappropriate medications to be used with caution in older adults?
• Which medication should be avoided in women with urinary incontinence due to potential aggravation of symptoms?
• Which anti-infective is listed as potentially inappropriate for older adults?
• In managing pain in older adults at risk for delirium, what approach regarding opioid use is recommended?
• Which antidepressant should be avoided in CrCl < 30 mL/min due to increased GI adverse events?
• In CrCl less than 30 mL/min, which action is recommended for colchicine?
• Which statement best differentiates amiodarone from dronedarone for older adults with atrial fibrillation?
• Tolterodine is best described as which type of agent?
• What adverse effects are associated with SGLT2 inhibitors in older adults, requiring caution and monitoring?
• Hyoscyamine is best described as which type?
• Flavoxate is best described as which type?
• Beers Criteria includes which of the following in its medication lists?
• Antiparkinsonian agents with strong anticholinergic activity (such as benztropine and trihexyphenidyl) are not recommended in older adults for:
• Which direct oral anticoagulant (DOAC) should be used with caution in older adults due to an increased risk of GI bleeding compared with warfarin?
• Warfarin should be avoided or monitored closely when co-administered with which of the following?
• Dronedarone has worse outcomes in which subset of heart failure patients, prompting caution in its use?
• Which medication has minimal effect on weight but increases risk of thrombotic events and possibly death in older adults?
• Which antiemetic is listed as having strong anticholinergic properties?
• Which antiemetic is listed as having strong anticholinergic properties?
• In patients with CrCl less than 50 mL/min, what adjustment is recommended for cimetidine?
• Which analgesic listed is inappropriate for older adults due to GI bleed risk and AKI?
• Which antibiotics are listed as antinfectives to avoid with CrCl <30?
• Which antibiotic combination is identified as potentially inappropriate for older adults?
• Which statement about theophylline interactions with cimetidine or ciprofloxacin is true?
• Which antiarrhythmic should be avoided in older adults with heart failure due to potential mortality?
• In CrCl less than 50 mL/min, what adjustment is recommended for nizatidine?
• Which medication class should be avoided in heart failure with reduced ejection fraction due to risk of fluid retention?
• Which proton pump inhibitor is listed as inappropriate for older adults due to risks such as C. diff infection, pneumonia, bone loss, and fractures?
• Dronedarone should be avoided in older adults with which conditions?