Question 01
Question
A 75 yr old male with a history of Parkinson’s, depression and seizure history was admitting in the hospital for dizziness. After one day of therapy he developed delirium. Which of the following medications has the highest risk of causing delirium in the elderly?
- [A] Dopamine agonists
- [B] Anticonvulsants
- [C] Antidizziness agents
- [D] Tricyclic antidepressants
First correct answer gets 2 points, then every correct answer 1 point.
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Answers ( 4 )
The correct answer is A
Delirium can be caused by a number of medications. The question here is asking which has the highest risk.
Medications with most risk; Anticholinergics, Benzodiazepines, Dopamine agonists, meperidine
Medications with low to med risk; Antibiotics, Anticonvulsants, Antidizzines agents, Antiemetics, Antihypertensives, Antivirals, Corticosteroids, Metoclopramide, Narcotics, Tricyclic antidepressants
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Ref: Kalish, V. B. (2014). Delirium in older persons. AFP, 90, 3rd ser., 150-158.
A
D
B>A>D>C