Posttest

1. A 73 year old man comes to the office for a routine exam. He is in good health and takes no medication. He drinks daily. Which of the following daily intakes could be indicative of abuse?

One 1.5 oz glass of whiskey
One 5 oz glass of wine
Two 12 oz glasses of beer
One 3 oz glass of sherry

2. Which of the following statements is true about substance abuse in older adults?

Age related physical changes do not effect the presentation or outcome
Does not effect underlying medical conditions
Is often undetected
Older adults admit to abuse

3. What percent of prescribed medications are used by older adults?

4. Which of the following are considered misuse of a drug?

Ignoring the dietary precautions
Not adhering to prescribed schedule
Failing to follow instructions
All of the above

5. Which of the following drug groups is useful in decreasing alcohol use?

Anxiolytics
Anti-psychotics
Benzodiazepines
SSRIs

6. Intoxication is best defined as

A specific set of symptoms
The resulting effect of a substance or drug on the central nervous system
A feeling of disinhibition and incoordination
A state of arousal

7. A condition associated with substance abuse that mimics dementia, delirium or other psychiatric disorders is

Substance abuse psychosis
Delirium of abuse
Substance abuse dementia
Abuse induced psychiatric syndrome

8. The key to successful treatment is

Motivation
Family support
Financial resources
Use of a 1 step program

9. The TIP protocol uses which of the following strategies

Feedback
Advice
Menu
All of the above

10. Older adults substance abuse may be complicated by

Cultural beliefs
Financial concerns
Medical problems
All of the above