FINAL ACTUAL EXAM NEWEST WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS|
GUARANTEED PASS!
What is the Vancomycin dose for C. difficile? - ANSWER-Vancomycin 125 mg
PO four times daily.
What is the treatment for Shigella? - ANSWER-Bactrim twice daily for 3-5 days.
What is the treatment for Campylobacter? - ANSWER-Erythromycin four times
daily for 5 days OR Ciprofloxacin twice daily for 7 days.
What is the adult dose of Promethazine for nausea/vomiting in gastroenteritis? -
ANSWER-12.5-25 mg every 4-6 hours.
What is the pediatric dose of Promethazine? - ANSWER-0.5 mg/kg every 4-6
hours (max 25 mg).
What is the non-pharmacologic treatment for constipation? - ANSWER-20-35
grams fiber daily, 1.5-2 liters fluid daily, regular toileting, exercise.
What are first-line pharmacologic treatments for constipation? - ANSWER-
Bulking agents (psyllium), stool softeners (docusate), osmotic laxatives (PEG,
lactulose, sorbitol, magnesium salts).
What is the adult dose of Metoclopramide? - ANSWER-10 mg four times daily.
,What is the adult dose of Ondansetron? - ANSWER-8 mg every 8 hours.
What is the non-pharmacologic treatment for mild dehydration in gastroenteritis? -
ANSWER-Oral rehydration 50 mL/kg over 4 hours (3-5% dehydration).
What is the non-pharmacologic treatment for moderate dehydration in
gastroenteritis? - ANSWER-Oral rehydration 100 mL/kg over 4 hours (6-9%
dehydration).
What is the treatment for Giardia? - ANSWER-Metronidazole 250 mg PO three
times daily for 5-7 days.
What is the treatment for C. difficile? - ANSWER-Metronidazole 500 mg PO
three times daily OR 250 mg four times daily.
What is the pediatric dose of Ondansetron (age 4-11)? - ANSWER-4 mg every 4
hours.
How is Scopolamine given for motion sickness? - ANSWER-Apply one patch
behind the ear.
What is first-line pharmacologic therapy for GERD? - ANSWER-H2 blockers
given twice daily (famotidine, cimetidine).
,When should PPIs be taken for GERD? - ANSWER-30-60 minutes before meals
(except dexlansoprazole).
How long should erosive esophagitis be treated with PPIs? - ANSWER-8 weeks.
What is the Metoclopramide dose for GERD as a prokinetic? - ANSWER-5-10 mg
before meals.
How is Sucralfate taken? - ANSWER-One hour before meals and at bedtime.
What is first-line therapy (2020 recommendation) for H. pylori? - ANSWER-14
days of quadruple therapy: PPI + Amoxicillin BID + Metronidazole BID +
Clarithromycin BID.
What is Bismuth quadruple therapy? - ANSWER-PPI + Bismuth + Metronidazole
+ Tetracycline.
What fiber supplement is used in IBS? - ANSWER-Psyllium.
What antispasmodics are used for IBS? - ANSWER-Hyoscyamine and
Dicyclomine.
What antidiarrheal is used for IBS-D? - ANSWER-Loperamide.
What antibiotic is used for IBS? - ANSWER-Rifaximin for 2 weeks.
, What is first-line treatment for Iron Deficiency Anemia? - ANSWER-Oral ferrous
sulfate 325 mg (≈65 mg elemental iron) 1-3 times daily.
How should oral iron be taken for best absorption? - ANSWER-With vitamin C;
avoid PPIs, calcium, and dairy.
When is IV iron indicated? - ANSWER-Poor oral tolerance, malabsorption (IBD,
bariatric surgery), or severe anemia needing rapid repletion.
When is transfusion indicated in IDA? - ANSWER-Hgb <7 or symptomatic
anemia.
How long should iron therapy continue after Hgb normalizes? - ANSWER-3
months.
Microcytic anemia + low ferritin on exam → treatment? - ANSWER-Oral iron.
First-line treatment for Anemia of Chronic Disease? - ANSWER-Treat the
underlying condition.
Second-line therapy for ACD, especially in CKD? - ANSWER-Erythropoiesis-
stimulating agents (epoetin alfa).
When is iron supplementation appropriate in ACD? - ANSWER-Only if true iron
deficiency is present.
Ferritin level in ACD? - ANSWER-Normal or high.