51. Approximately how many people die from C. difficile infections every year in the U.S.?
57. What is the name of efforts to reduce the potential harms to older adults posed by polypharmacy?
A. 25,000. B. 30,000. C. 35,000. D. 40,000.
A. Geriatric prescribing practices. B. Clinically appropriate prescribing. C. Rational prescribing. D. Deprescribing.
52. What is the name of the general approach to reducing the use of antibiotics and reducing the evolution of antibiotic-resistant bacteria? A. Antimicrobial accountability and education programs.
58. Which kind of intervention related to prescriptions has been shown to decrease hospitalizations and ED visits in older adults?
A. Clinical decision-support systems. B. Pharmacist-led medication review. C. Patient education about polypharmacy. D. Automated prescription refill reminders.
B. Antibiotic harm reduction. C. Antimicrobial stewardship. D. Antibiotic mitigation programs.
53. Which class of antibiotics do guidelines specifically target for reduced or restricted use as one a way to reduce C. difficile infections? A. Tetracyclines.
59. Which protocol/criteria has been shown to reduce adverse drug events among older adults?
A. STOPP. B. BOOST. C. CTI. D. TCM.
B. Aminoglycosides. C. Cephalosporins. D. Macrolides.
60. What is a notable barrier to implementing deprescribing protocols for older adults? A. Pharmacists not adhering to implementation protocols. B. Inadequate documentation of medication history. C. Patients being discouraged from discontinuing medications by their provider. D. All of the above.
54. In the past decade, what practice has received increasing attention as a potential way to reduce a major source of C. difficile transmission in healthcare settings? A. Patient hand hygiene. B. Medical device decontamination.
C. Clinician hand hygiene. D. Use of telemedicine.
55. Which cleaning agents for washing surfaces by hand demonstrate the best evidence for killing C. difficile ? A. Chlorine-releasing solutions. B. Antimicrobial detergents. C. Alcohol-based disinfectants. D. Hydrogen peroxide. 56. Which two factors are considered to pose the greatest risk of drug-related adverse events among adults age 65 years and older? A. Polypharmacy and the use of potentially inappropriate medicines. B. Inappropriate use of antibiotics and over-use of corticosteroids. C. Inappropriate dosing adjustments for older age and over-use of antibiotics. D. Patient use of un-regulated supplements and over-use of acetaminophen.
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