Variables | Response Categories | Frequency (%) |
---|---|---|
Metoclopramide should be avoided unless for gastroparesis with a duration not exceeding 12 weeks except in rare cases because it can cause extrapyramidal side-effects Correct answer: Yes | Yes | 39 (59.1) |
No | 10 (15.2) | |
I don’t Know | 17 (25.8) | |
Proton-pump Inhibitors should be used for a maximum of 8 weeks in elderly patients except for high-risk patients, erosive oesophagitis, and pathological hypersecretory conditions. Correct answer: Yes | Yes | 53 (80.3) |
No | 7 (10.6) | |
I don’t Know | 6 (9.1) | |
Sertraline would increase the risk of delirium. Correct answer: Yes | Yes | 42 (63.6) |
No | 5 (7.6) | |
I don’t Know | 19 (28.8) | |
SSRIs can increase the risk of falls and should be avoided unless safer alternatives are not available. Correct answer: Yes | Yes | 48 (72.7) |
No | 3 (4.5) | |
I don’t Know | 15 (22.7) | |
Benzodiazepines can increase the risk of falls and fractures in elderly patients. Correct answer: Yes | Yes | 54 (81.8) |
No | 7 (10.6) | |
I don’t Know | 5 (7.6) | |
First Generation antihistamines (Chlorpheniramine) can increase the risk of anticholinergic effects in elderly patients. Correct answer: Yes | Yes | 40 (60.6) |
No | 8 (12.1) | |
I don’t Know | 18 (27.3) | |
Corticosteroids plus NSAIDs should be avoided because it increases the risk of peptic ulcer disease or Gastro-Intestinal bleeding. Correct answer: Yes | Yes | 56 (84.8) |
No | 2 (3.0) | |
I don’t Know | 8 (12.1) | |
Aspirin 325 mg daily may exacerbate existing ulcers or cause new additional ulcers. Correct answer: Yes | Yes | 54 (81.8) |
No | 9 (13.6) | |
I don’t Know | 3 (4.5) | |
Long-acting sulfonylurea (glimepiride, glyburide) should be avoided due to their risk of prolonged hypoglycemia. Correct answer: Yes | Yes | 46 (69.7) |
No | 9 (13.6) | |
I don’t Know | 11 (16.7) | |
A 72-year-old patient has type II diabetes mellitus. The patient is newly diagnosed with hypertension. The patient has experienced recurrent events of hypoglycemia. The patient has no other medical illnesses. Which of the following medications would you consider to AVOID? Correct answer: hydrochlorothiazide. | Metoprolol | 25 (37.9) |
Amlodipine | 3 (4.5) | |
Hydrochlorothiazide | 28 (42.4) | |
Losartan | 4 (6.1) | |
I don’t know | 6 (9.1) | |
A 76-year-old patient is newly diagnosed with type II diabetes mellitus. The patient has no other medical illness. You are going to start an oral antidiabetic agent for this patient. Which of the following medications would you consider to AVOID? Correct answer: Glibenclamide | Rosiglitazone | 40 (60.6) |
Glibenclamide | 13 (19.7) | |
Metformin | 4 (6.1) | |
Sitagliptin | 3 (4.5) | |
I don’t know | 6 (9.1) | |
Score distribution (n = 66) | Frequency(n) | Percentage (%) |
0 | 0 | 0.0 |
1 | 0 | 0.0 |
2 | 0 | 0.0 |
3 | 1 | 1.5 |
4 | 3 | 4.5 |
5 | 10 | 15.2 |
6 | 8 | 12.1 |
7 | 11 | 16.7 |
8 | 12 | 18.2 |
9 | 13 | 19.7 |
10 | 7 | 10.6 |
11 | 1 | 1.5 |
Knowledge of Beers’ Criteria | ||
Poor Knowledge (< 80) | 45 | 68.2 |
Good Knowledge (> 80) | 21 | 31.8 |