MN 553 Unit 3 Exam Questions with Correct Answers| Latest Update Guaranteed Success
Many patients self-medicate with antacids. Which patients should be counseled to not take
calcium carbonate antacids without discussing it with their provider or a pharmacist first?
1. Patients with kidney stones
2. Pregnant patients
3. Patients with heartburn
4. Postmenopausal women patient with kidney stones
Patients taking antacid should be educated regarding these drugs, including letting them know
that:
a. they may cause constipation or diarrhea
b. many are high in sodium
c. they should separate antacids from other medications by 1 hr
d. all of the above d. all of the above
Kelly has diarrhea and is wondering if she can take loperamide (Imodium) for the diarrhea.
Loperamide:
1. Can be given to patients of all ages, including infants and children, for viral gastroenteritis
2. Slows gastric motility and reduces fluid and electrolyte loss from diarrhea
3. Is the treatment of choice for the diarrhea associated with E. coli 0157
4. May be used in pregnancy and by lactating women 2. Slows gastric motility and reduces
fluid and electrolyte loss from diarrhea
Bismuth subsalicylate (Pepto-Bismol) is a common OTC remedy for gastrointestinal complaints.
Bismuth subsalicylate:
a. may lead to toxicity if taken with aspirin
b. is contraindicated in children with flu-like illness
c. has antimicrobial effects against bacterial and viral enteropathogenesis
d. all above d. All above
, Hannah will be traveling to Mexico with her church group over spring break to build houses.
She is concerned she may develop traveler's diarrhea. Advice includes following normal food
and water precautions as well as taking:
1. Loperamide four times a day throughout the trip
2. Bismuth subsalicylate with each meal and at bedtime
3. A prescription for diphenoxylate with atropine to use if she gets diarrhea
4. None of the above 2. Bismuth subsalicylate with each meal and at bedtime
Josie is a 5-year-old patient who presents to the clinic with a 48-hour history of nausea,
vomiting, and some diarrhea. She is unable to keep fluids down and her weight is 4 pounds less
than her last recorded weight. Besides IV fluids, her exam warrants the use of an antinausea
medication. Which of the following would be the appropriate drug to order for Josie?
1. Prochlorperazine (Compazine)
2. Meclizine (Antivert)
3. Promethazine (Phenergan)
4. Ondansetron (Zofran) 4. Ondansetron (Zofran)
Jim presents with complaints of "heartburn" that is minimally relieved with Tums (calcium
carbonate) and is diagnosed with gastroesophageal reflux disease (GERD). An appropriate first-
step therapy would be:
1. Omeprazole (Prilosec) twice a day
2. Ranitidine (Zantac) twice a day
3. Famotidine (Pepcid) once a day
4. Metoclopramide (Reglan) four times a day 2. Ranitidine (Zantac) twice a day
patients who are on chronic long-term proton pump inhibitor therapy require monitoring for:
iron deficiency anemia, vitamin b12 and calcium deficiency
Many patients self-medicate with antacids. Which patients should be counseled to not take
calcium carbonate antacids without discussing it with their provider or a pharmacist first?
1. Patients with kidney stones
2. Pregnant patients
3. Patients with heartburn
4. Postmenopausal women patient with kidney stones
Patients taking antacid should be educated regarding these drugs, including letting them know
that:
a. they may cause constipation or diarrhea
b. many are high in sodium
c. they should separate antacids from other medications by 1 hr
d. all of the above d. all of the above
Kelly has diarrhea and is wondering if she can take loperamide (Imodium) for the diarrhea.
Loperamide:
1. Can be given to patients of all ages, including infants and children, for viral gastroenteritis
2. Slows gastric motility and reduces fluid and electrolyte loss from diarrhea
3. Is the treatment of choice for the diarrhea associated with E. coli 0157
4. May be used in pregnancy and by lactating women 2. Slows gastric motility and reduces
fluid and electrolyte loss from diarrhea
Bismuth subsalicylate (Pepto-Bismol) is a common OTC remedy for gastrointestinal complaints.
Bismuth subsalicylate:
a. may lead to toxicity if taken with aspirin
b. is contraindicated in children with flu-like illness
c. has antimicrobial effects against bacterial and viral enteropathogenesis
d. all above d. All above
, Hannah will be traveling to Mexico with her church group over spring break to build houses.
She is concerned she may develop traveler's diarrhea. Advice includes following normal food
and water precautions as well as taking:
1. Loperamide four times a day throughout the trip
2. Bismuth subsalicylate with each meal and at bedtime
3. A prescription for diphenoxylate with atropine to use if she gets diarrhea
4. None of the above 2. Bismuth subsalicylate with each meal and at bedtime
Josie is a 5-year-old patient who presents to the clinic with a 48-hour history of nausea,
vomiting, and some diarrhea. She is unable to keep fluids down and her weight is 4 pounds less
than her last recorded weight. Besides IV fluids, her exam warrants the use of an antinausea
medication. Which of the following would be the appropriate drug to order for Josie?
1. Prochlorperazine (Compazine)
2. Meclizine (Antivert)
3. Promethazine (Phenergan)
4. Ondansetron (Zofran) 4. Ondansetron (Zofran)
Jim presents with complaints of "heartburn" that is minimally relieved with Tums (calcium
carbonate) and is diagnosed with gastroesophageal reflux disease (GERD). An appropriate first-
step therapy would be:
1. Omeprazole (Prilosec) twice a day
2. Ranitidine (Zantac) twice a day
3. Famotidine (Pepcid) once a day
4. Metoclopramide (Reglan) four times a day 2. Ranitidine (Zantac) twice a day
patients who are on chronic long-term proton pump inhibitor therapy require monitoring for:
iron deficiency anemia, vitamin b12 and calcium deficiency
