FREE CCP Geriatric Patient Assessment Questions and Answers

Question 1

An 84-year-old male resident of an assisted living facility reports two falls in the past three months.
The consultant pharmacist performs a Timed Up and Go (TUG) test to assess his mobility and fall risk.
The resident, using his standard walker, completes the test in 18 seconds.
Based on this result, what is the most appropriate interpretation and action?

Accepted Answer

The result indicates a high risk for future falls, and a multifactorial fall risk assessment should be initiated.

Answer

The resident has normal mobility for his age and no specific intervention is required.

Answer

The resident should be re-tested without his walker to get a more accurate baseline.

Answer

The TUG test is inconclusive without a simultaneous cognitive assessment.

Question 2

A consultant pharmacist is conducting a comprehensive geriatric assessment. To evaluate the patient's ability to perform complex tasks required for independent living, such as managing finances and taking medications correctly, which of the following functional domains should be assessed?

Accepted Answer

Instrumental Activities of Daily Living (IADLs)

Answer

Palliative Performance Scale (PPS)

Answer

Activities of Daily Living (ADLs)

Answer

Geriatric Depression Scale (GDS)

Question 3

When administering the Mini-Cog™ as part of a cognitive screen, the pharmacist asks the patient to recall three unrelated words and then to draw a clock showing the time 'ten past eleven'. The patient recalls one of the three words and draws a clock with the numbers correctly placed, but the hands pointing to 10 and 11. How should this result be scored and interpreted?

Accepted Answer

Score: 1 (1 for word recall, 0 for clock draw); indicates probable cognitive impairment.

Answer

Score: 3 (1 for word recall, 2 for clock draw); indicates low likelihood of cognitive impairment.

Answer

Score: 2 (0 for word recall, 2 for clock draw); warrants further cognitive evaluation.

Answer

Score: 0 (0 for word recall, 0 for clock draw); indicates definite cognitive impairment.

Question 4

Which of the following validated screening tools is specifically designed to identify both potentially inappropriate medications to STOP and potential prescribing omissions to START in older adults?

Accepted Answer

STOPP/START Criteria

Answer

Medication Appropriateness Index (MAI)

Answer

Beers Criteria®

Answer

Drug Burden Index (DBI)

Question 5

A consultant pharmacist is reviewing a frail, 88-year-old resident with a limited life expectancy. The resident is on multiple preventive medications, including a statin for primary prevention of cardiovascular disease. Which specialized screening tool would be most appropriate for guiding deprescribing in this specific patient context?

Accepted Answer

The STOPPFrail tool

Answer

The Fried Frailty Phenotype

Answer

The Beers Criteria®

Answer

The Mini Nutritional Assessment (MNA)

Question 6

During a nutritional assessment of a 79-year-old skilled nursing facility resident, which of the following tools is considered a well-validated, widely used screening instrument specifically developed to identify malnutrition or risk of malnutrition in the geriatric population?

Accepted Answer

Mini Nutritional Assessment (MNA)

Answer

Subjective Global Assessment (SGA)

Answer

Geriatric Depression Scale (GDS)

Answer

Body Mass Index (BMI) calculation alone