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Question Number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Bonus round questions Bonus #1 Bonus #2 Bonus # 3 Bonus #4 Bonus # 5 Number Addresses Beers* List? Geriatric Competencies Addressed (see numbered list below) No Yes Yes No No No Yes Yes Yes Yes Yes Yes Yes No Yes Yes 1 2 1&2 1 1&2 2 2,3 & 13 2 1&2 1&2 2 & 22 1 2 & 22 1 & 22 2 2 No No Yes Yes No 2 2 2 1&2 2 & 22 Minimum Geriatric Competencies** MEDICATION MANAGEMENT 1 2 3 Explain impact of age-related changes on drug selection and dose based on knowledge of age-related changes in renal and hepatic function, body composition, and Central Nervous System sensitivity. Identify medications, including anticholinergic, psychoactive, anticoagulant, analgesic, hypoglycemic, and cardiovascular drugs that should be avoided or used with caution in older adults and explain the potential problems associated with each. Document a patient’s complete medication list, including prescribed, herbal and over-thecounter medications, and for each medication provide the dose, frequency, indication, benefit, side effects, and an assessment of adherence. FALLS, BALANCE, GAIT DISORDERS 13 In a patient who has fallen, construct a differential diagnosis and evaluation plan that addresses the multiple etiologies identified by history, physical examination and functional assessment 22 Identify potential hazards of hospitalization for all older adult patients (including immobility, delirium, medication side effects, malnutrition, pressure ulcers, procedures, peri and post operative periods, and hospital acquired infections) and identify potential prevention strategies. HOSPITAL CARE FOR ELDERS * Fick DM, et al. Updating the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults: Results of a US Consensus Panel of Experts. Arch Intern Med 2003; 163 (22):2716-2724. ** Leipzig RM, Granville L, Simpson D, Anderson MB, Sauvigné K, Soriano RP. Keeping Granny Safe on July 1: A Consensus on Minimum Geriatrics Competencies for Graduating Medical Students. Acad Med 2009; 84(5):604-610.