Care CEUs

1. To differentiate the severity of problems between an older drinker from a younger drinker the Panel recommends using which of the following terms:

2. People between the age of 40 and 65 consume more prescribed and over-the-counter medications than any other age group in the United States.

3. The Consensus Panel recommends that older men consume no more than how many drinks per day?

4. As opposed to Disulfirum, which is not recommended by the Consensus Panel as an effective pharmacotherapy for older patients, Naltrexone(ReVia) is preferred as it is better tolerated and may reduce relapses in older adults.

5. According to the Panel, after a prolonged drinking episode, how long should signs of depression persist before antidepressant treatment is indicated?

6. Disorders among the older population that mimic substance abuse and make diagnosis difficult could be:

7. Several factors create barriers in the treatment of older substance abusing adults. These include:

8. Most older adults will readily accept a mental or psychiatric diagnosis, but not a medical diagnosis.

9. Keeler and colleagues studied the effect of patient age and length of physician encounter. They found that the amount of time physicians spend with a patient:

10. It is a common myth that older substance abusers do not benefit from treatment as much as younger patients.

11. Women are prescribed and consume more psychoactive drugs than men, in particular:

12. This older minority population is considered at particularly high risk and more vulnerable to late-life drinking than previously thought.

13. The primary substance of abuse among older adults is:

14. Which of the following age related changes significantly affect the way an older person responds to alcohol?

15. This enzyme plays a key role in the metabolism of alcohol that occurs in the gastric mucosa

16. Due to age related physiological changes, alcohol consumption can exacerbate other serious problems among older adults.

17. Alcohol use may have direct neurotoxic effects leading to a syndrome known as ARD, which stands for:

18. In all cases studied, even small amounts of alcohol have been shown to be harmful.

19. Two classic models of understanding alcohol problems, 1) the medical diagnostic model and 2) the at-risk, heavy, and problem drinking classification-include criteria adequate to diagnose many older adults with alcohol problems.

20. Most clinicians rely on the conventional medical model defined in the DSM-IV for classifying the signs and symptoms of alcohol-related problems.

21. To differentiate older drinkers, the Consensus Panel recommends using the terms at-risk and problem drinkers only.

22. The NIAAA (National Institute on Alcohol Abuse and Alcoholism) recommends this guideline for low-risk drinking.

23. Studies suggest three ways of categorizing problem drinking among older adults. The following is not one of those :

24. Early onset drinkers comprise the majority of older patients receiving treatment for alcohol abuse.

25. Late onset alcoholism is often milder and more amenable to treatment than early onset drinking problems.

26. In contrast to ongoing, continuous drinking, intermittent drinking refers to regular, perhaps daily heavy drinking that has:

27. Binge drinking is generally defined as:

28. A binge itself is defined as any drinking occasion in which an individual consumes more than:

29. Studies suggest that older men are much more likely than older women to have alcohol-related problems.

30. Smokers require lower doses of benzodiazepines to achieve efficacy than do nonsmokers.

31. Tobacco is the most common substance use disorder in the older adult.

32. A recent study found that this combination of substances combine to create adverse drug reactions and is most common among older adults:

33. Adults can become physiologically dependent on psychoactive medications without meeting dependence criteria.

34. The most consistently documented correlates of psychoactive prescription drug use are:

35. Older women are nearly twice as likely as older men to develop a diagnosable anxiety disorder.

36. Older patients with substance dependence disorders are less likely than younger drug addicts to have a dual diagnosis.

37. Benzodiazepines have variable rates of absorption, with metabolism occurring primarily in the:

38. Most patients who withdraw from benzodiazepine use/abuse can maintain abstinence.

39. Instead of relying on drugs as a first line approach, treatment should initially be directed toward any underlying disorder.

40. Opioid withdrawal is considered life-threatening.

41. It is the recommendation of this Panel that every adult over the age of 60 be screened for alcohol and prescription drug abuse during his/her regular physical examination.

42. Studies have shown the most common health problem among alcohol-dependent older adults is:

43. The most common causes of dementia in older adults is

44. Delirium is an alteration of mental status that can be reversed with medical treatment.

45. The Panel recommends this screening tool for use in general outpatient settings as a screen for depression among older patients.

46. The Consensus Panel recommends the least intensive treatment options be explored first for the older adult patient.

47. As a group, older adults tend to have a greater disdain for "drug addicts" than the general population.

48. Triage refers to:

49. The most commonly used patient placement criteria are found in the: