AGS Beers Criteria Practice Test

These questions are part of the practice quiz. Start practicing

• In dementia or cognitive impairment, which drug class is listed as inappropriate due to adverse CNS effects and stroke risk with chronic use?
• For ciprofloxacin when CrCl <30, what is typically recommended?
• Trospium is best described as which type?
• In older adults, which practice about aspirin for primary prevention is inappropriate?
• In older adults with atrial fibrillation or heart failure, which statement about digoxin is correct?
• Which statement about desiccated thyroid is correct?
• Why is nitrofurantoin considered inappropriate for use in older adults?
• What is the general Beers Criteria recommendation regarding the number of CNS-active drugs in a patient?
• Which of the following is an antispasmodic with strong anticholinergic properties?
• In patients with Parkinson disease, which antiemetic is considered inappropriate because it can worsen parkinsonian symptoms?
• Which antiarrhythmic should be avoided as first-line therapy for atrial fibrillation unless the patient has heart failure or substantial LVH?
• Compared with apixaban, which direct oral anticoagulant has a higher risk of GI bleeding in older adults when used long-term for nonvalvular AF or VTE?
• Which endocrine medication is considered inappropriate for older adults due to potential for cardiac problems and risks in men with prostate cancer?
• Which endocrine medication increases risk of thrombotic events and possibly death in older adults with minimal effect on weight?
• Which medication is explicitly listed as potentially inappropriate for older adults in the Beers Criteria?
• Tolterodine is best described as which type of agent?
• Beers Criteria guidance on SGLT2 inhibitors includes which monitoring emphasis?
• Tolterodine is best described as which type?
• Among the following analgesics, which is listed as potentially inappropriate for older adults due to risks such as delirium or falls?
• Which statement best reflects Beers Criteria stance on 1st and 2nd generation antipsychotics in older adults?
• Nitrofurantoin should be avoided in individuals with CrCl below what threshold?
• For rivaroxaban, what is the dosing recommendation for CrCl between 15-50 mL/min?
• Which medication is listed as potentially inappropriate for older adults?
• Which class should be avoided chronically in older adults due to GI bleed risk, unless a protective agent is used?
• Mineral oil is inappropriate for older adults because of aspiration risk. Which option correctly lists a safer alternative?
• What is the recommended action for dofetilide when CrCl is 20-59 mL/min?
• Fondaparinux should be avoided if CrCl is below what value?
• Fondaparinux should be avoided when CrCl is below what value?
• Deprescribing should be considered for older women already using which class of medications?
• In patients with CrCl < 30 mL/min, which diuretic should be avoided due to hyperkalemia risk?
• Which statement is true for dabigatran with CrCl between 15-30 mL/min?
• Which antidepressant is explicitly listed among potentially inappropriate medications to be used with caution in older adults?
• Dextromethorphan-quinidine should be used with caution for older adults because:
• Under what condition is scheduled PPI use beyond 8 weeks justified in older adults?
• Beers Criteria includes which of the following in its medication lists?
• Hyoscyamine is best described as which type?
• Ergoloid mesylates are avoided in older adults mainly due to:
• Which analgesic listed is inappropriate for older adults due to GI bleed risk and AKI?
• Which of the following is NOT a Z-drug?
• In CrCl less than 30 mL/min, which action is recommended for colchicine?
• Which antipsychotic is among those considered less likely to worsen Parkinson disease symptoms, and is listed as an exception in Beers criteria?
• Scopolamine is best described as which type?
• For CrCl < 60 mL/min, which drug should have its dose reduced due to CNS adverse effects?
• Which antiepileptic requires dose reduction when CrCl ≤ 80 mL/min?
• Which medication should be avoided when CrCl < 30 mL/min because it increases GI adverse events?
• Antiparkinsonian agents with strong anticholinergic activity (such as benztropine and trihexyphenidyl) are not recommended in older adults for:
• Which class of diabetes medications is listed as potentially inappropriate to be used with caution in older adults?
• Which medication is not listed as inappropriate for delirium?
• Rivaroxaban should be avoided when CrCl is below which threshold?
• Which diuretic is specifically associated with hyperkalemia and hyponatremia in CrCl < 30?
• Which DOAC has guidance to reduce the dose when CrCl is 15-50 mL/min, following manufacturer dosing for indication-specific use?
• Nitrofurantoin CrCl threshold for avoidance is below which value?
• Barbiturates (butalbital, phenobarbital, primidone) in older adults are:
• Which antidepressants are listed as inappropriate for older adults with history of falls/fractures?
• Which is inappropriate for use in older adults due to risk of hypotension when given as an immediate-release formulation?
• Beers Criteria are guidelines developed by the American Geriatrics Society to improve the safety of prescribing medications for which population?
• The Beers Criteria is intended for use in which population?
• In patients with CrCl less than 30 mL/min, which drug should be avoided due to risks of pulmonary toxicity, hepatotoxicity, and peripheral neuropathy with long-term use?
• Which drug interaction increases urinary incontinence risk in older women?
• Which of the following is NOT listed as an inappropriate medication for older adults with a history of falls or fractures?
• Which GI medication is known for strong anticholinergic activity and is therefore inappropriate for older adults?
• Which antiemetic is listed as having strong anticholinergic properties?
• In managing pain in older adults at risk for delirium, what approach regarding opioid use is recommended?
• Which antidepressant is listed with strong anticholinergic properties and is noted with a dosing threshold of greater than 6 mg per day?
• For older adults with nonvalvular atrial fibrillation or VTE, which medication is least preferred as initial anticoagulation due to higher major bleeding risk and similar or lower effectiveness compared with DOACs?
• Beers Criteria audience includes 65 years or older in which settings?
• Which of the following is an antimuscarinic used for urinary incontinence with strong anticholinergic properties?
• Which GI antispasmodic is inappropriate for older adults due to strong anticholinergic activity?
• Which diuretic should be avoided under CrCl < 30 mL/min due to hyperkalemia risk?
• In patients with CrCl less than 50 mL/min, what adjustment is recommended for cimetidine?
• Non-COX-2 NSAIDs can increase BP and cause kidney injury. Which factor would increase NSAID-related kidney injury risk?
• In CrCl less than 50 mL/min, what adjustment is recommended for nizatidine?
• Compared with DOACs, warfarin in older adults with nonvalvular AF or VTE generally has which bleeding risk and effectiveness profile?
• If a sulfonylurea is used in older adults, which is preferred over long-acting agents?
• Dipyridamole is inappropriate for routine use in older adults, but the IV formulation is acceptable for which purpose?
• Meprobamate in older adults is discouraged due to:
• Warfarin should be avoided or monitored closely when co-administered with which of the following?
• Sulfamethoxazole-trimethoprim should be used with caution in older adults who are on ACE inhibitors, ARBs, or ARNIs and have decreased creatinine clearance because of risk of:
• Benztropine is best described as which type of agent?
• Which medication should be avoided in CrCl <30 mL/min due to risk of hyperkalemia and hyponatremia?
• In delirium management, if corticosteroids are needed, what dosing approach is recommended?
• Rationale for avoiding antihistamines in older adults includes which of the following?
• For probenecid in CrCl less than 30 mL/min, what is the rationale behind avoiding it?
• Beers Criteria recommends avoiding routinely using two or more of which category of medications due to hyperkalemia risk in CKD stage 3a or higher?
• Ciprofloxacin dosing adjustments are typically required when the patient’s creatinine clearance falls below which value?
• Under Beers Criteria, which category includes cimetidine, famotidine, and nizatidine?
• Which skeletal muscle relaxant is Beers Criteria appropriate to avoid for older adults?
• Oxybutynin is best described as which type?
• Which medication class should be avoided in heart failure with reduced ejection fraction due to risk of fluid retention?
• Which antipsychotic is less likely to precipitate worsening of Parkinson disease symptoms, and is often considered safer in this context?
• Which antidiabetic drug class is inappropriate in heart failure due to risk of fluid retention?
• What factor increases the risk of extrapyramidal symptoms with metoclopramide in older adults?
• Among sulfonylureas, which is preferred if a sulfonylurea is used in older adults?
• Which of the following is NOT among the Beers Criteria listed as having strong anticholinergic properties among first-generation antihistamines?
• Which drug combination is explicitly listed as to avoid due to overdose risk in older adults?
• Opioids combined with gabapentin or pregabalin should be avoided in older adults, except in which scenario?
• In renal impairment, colchicine can cause which toxicities?
• Which statement best describes rivaroxaban in the context of long-term treatment of AF or VTE in older adults?
• For patients on lithium who also take loop diuretics, what is the advised management?
• For CrCl < 30 mL/min, tramadol dosing rules for immediate-release versus extended-release formulations are:
• What is a primary concern with GI antispasmodics that have strong anticholinergic properties in older adults?
• Which antibiotics are listed as antinfectives to avoid with CrCl <30?
• Theophylline with cimetidine increases the risk of what?
• When a patient is taking lithium with ACE inhibitors, ARBs, or ARNI, what is the recommended course of action?
• Which drug requires a dose reduction when CrCl is <30 mL/min?
• For CrCl < 30 mL/min, tramadol immediate-release dosing should be:
• Clidinium-Chlordiazepoxide is best described as which type?
• What adjustment is advised for enoxaparin when CrCl is less than 30 mL/min?
• Which first-generation antihistamine is listed with strong anticholinergic properties and is commonly used as a sleep aid?
• Which statement best reflects Beers Criteria guidance on opioids and benzodiazepines in older adults?
• When starting antidepressants, antiepileptics, antipsychotics, diuretics, or tramadol in older adults, which precaution is emphasized?
• For prasugrel use in adults 75 years or older, what dosing consideration does Beers Criteria suggest?
• Edoxaban should be reduced when CrCl is in which range?
• Which antibiotic combination is identified as potentially inappropriate for older adults?
• Why is combining two anticholinergic medications discouraged in older adults?
• Which drug requires dose reduction when CrCl ≤ 80 mL/min?
• Which statement about theophylline interactions with cimetidine or ciprofloxacin is true?
• The Beers Criteria approach to prescribing for older adults emphasizes:
• Which proton pump inhibitor is listed as inappropriate for older adults due to risks such as C. diff infection, pneumonia, bone loss, and fractures?
• Which antidepressant is listed as having strong anticholinergic properties?
• In CrCl less than 50 mL/min, what adjustment is recommended for famotidine?
• Beers Criteria recommendations for dementia-related behavioral symptoms state that antipsychotics should be used:
• Which endocrine medication is not recommended systemically due to carcinogenic potential and lack of cardioprotective effect, though vaginal estrogens may be safe?
• Phenytoin combined with sulfamethoxazole-trimethoprim is associated with which risk?
• Which of the following GI medications has strong anticholinergic activity?
• For patients with a history of gastric or duodenal ulcers, which statement about NSAID use is recommended?
• Which genitourinary medication is inappropriate for nocturia due to hyponatremia risk?
• Which sleep aids are listed among inappropriate medications for delirium due to CNS effects?
• Which of the following is an antipsychotic with strong anticholinergic properties?
• In CrCl < 30 mL/min, which drug should be avoided because it can cause hyperkalemia and hyponatremia?
• Which skeletal muscle relaxant is a Beers Criteria target for avoidance in older adults?
• Which anti-infective is listed as potentially inappropriate for older adults?
• Which NSAID is explicitly associated with higher GI bleed risk and AKI and should be avoided?
• What adverse effects are associated with SGLT2 inhibitors in older adults, requiring caution and monitoring?
• Central alpha agonists such as clonidine are inappropriate for hypertension in older adults due to risk of CNS effects and bradycardia. Which statement reflects this guidance?
• Which antidepressant should be avoided in CrCl < 30 mL/min due to increased GI adverse events?
• In men with lower urinary symptoms/BPH, which drug class is strongly anticholinergic and should be avoided?
• Which factor increases GI bleeding risk when using non-COX-2 NSAIDs?
• In CrCl less than 30 mL/min, what is the recommended action for probenecid?
• For CrCl < 60 mL/min, which drug should have its dose reduced due to CNS adverse effects?
• Which statement is NOT a component of Beers Criteria?
• Which direct oral anticoagulant (DOAC) should be used with caution in older adults due to an increased risk of GI bleeding compared with warfarin?
• Which of the following is an antiparkinsonian agent with strong anticholinergic properties?
• Which medication should be avoided in women with urinary incontinence due to potential aggravation of symptoms?
• Antidepressants with strong anticholinergic activity are considered inappropriate for older adults because they:
• Which class of analgesics should be avoided when CrCl < 30 mL/min due to risk of AKI?
• Which medication is included in the non-COX-2 NSAIDs group considered inappropriate for older adults?
• In CrCl ≤ 80 mL/min, which drug requires dose reduction due to CNS adverse effects?
• Dronedarone should be avoided in older adults with which conditions?
• Which medication is listed as potentially inappropriate for use in older adults?
• What is a goal of the Beers Criteria?
• Which antiemetic is listed as having strong anticholinergic properties?
• In older adults, which medication type is listed as inappropriate due to delirium risk?
• Which strategy is recommended when non-selective peripheral alpha-1 blockers are used with loop diuretics?
• Which medication is inappropriate for hypertension in older adults as a nonselective peripheral alpha-1 blocker?
• Dipyridamole is inappropriate for use in older adults because it can cause orthostatic hypotension, and a form is acceptable only for cardiac stress testing. Which medication fits this description?
• In the behavioral management of dementia, antipsychotics should be avoided unless which condition is met?
• Which antihistamine is considered inappropriate for use in older adults due to anticholinergic effects?
• Dronedarone has worse outcomes in which subset of heart failure patients, prompting caution in its use?
• Clozapine is best described as which type of agent?
• Central alpha agonists are considered inappropriate for hypertension treatment in older adults due to CNS effects and bradycardia. Which drug is a central alpha agonist?
• Which statement correctly reflects Beers Criteria regarding dual RAS blockade in CKD stage 3a or higher?
• Edoxaban should be avoided if CrCl is below 15 or above 95 mL/min. Which statement is true?
• Which of the following medications is NOT listed as potentially inappropriate or to be used with caution in older adults according to Beers criteria?
• Which of the following is a skeletal muscle relaxant with strong anticholinergic properties?
• Which of the following is NOT a CNS-active drug class listed in the Beers polypharmacy context?
• Which insulin regimen is inappropriate due to higher risk of hypoglycemia and no improvement in hyperglycemia management regardless of care setting?
• Which antiepileptic drug is listed as potentially inappropriate and should be used with caution in older adults?
• Which drug is not recommended as first-line therapy for atrial fibrillation or heart failure in older adults?
• Flavoxate is best described as which type?
• Dextromethorphan-quinidine is listed as potentially inappropriate in older adults. What is its primary clinical use?
• Which drug should be avoided in older adults with impaired kidney function (eGFR < 60 mL/min) due to CNS toxicity risk?
• Theophylline with ciprofloxacin increases risk of toxicity due to decreased clearance. What is the recommended action?
• Which statement about metoclopramide use in older adults with gastroparesis is correct?
• In older adults with atrial fibrillation or heart failure, the recommended maximum daily dosage for digoxin when used in older adults is:
• In Beers Criteria guidance, at what threshold of concurrent CNS-active medications does the risk of falls and fractures notably increase?
• Which medication class should be avoided in older adults with syncope due to orthostatic hypotension?
• Benzodiazepines (such as diazepam, lorazepam, temazepam) in older adults should be avoided because they:
• Which combination is an example of a Beers Criteria interaction to avoid involving lithium?
• Which medication–drug interaction is associated with QT prolongation concerns in heart failure?
• Which statement best reflects Beers Criteria guidance on prasugrel and ticagrelor use in adults aged 75 years or older?
• Which medication has minimal effect on weight but increases risk of thrombotic events and possibly death in older adults?
• Which antiarrhythmic should be avoided in older adults with heart failure due to potential mortality?
• Which opioid is discouraged in older adults due to risk of delirium and neurotoxicity?
• Which cholinesterase inhibitor should be avoided in older adults whose syncope may be due to bradycardia?
• Barbiturates should be avoided as a sleep aid in older adults because they are:
• Which first-generation antihistamine is listed as having strong anticholinergic properties?
• In older adults with dementia, antipsychotics are associated with an increased risk of:
• For a CrCl of 15-29 mL/min, what is the recommended action for sulfamethoxazole-trimethoprim?
• Beers Criteria highlights a risk associated with using three or more CNS-active drugs in older adults. What is this risk?
• Which of the following is inappropriate for older adults due to concerns about cardiac effects and safer alternatives available?
• Dabigatran should be avoided when CrCl is <30 mL/min; for CrCl 15-30 mL/min there is a labeling dose based on PK data. Which drug is this?
• Which statement best differentiates amiodarone from dronedarone for older adults with atrial fibrillation?