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Pharm Quiz 3 - GI & Male GU Verified and Updated Questions and Answers (100% Correct Answers)

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Pharm Quiz 3 - GI & Male GU Verified and Updated Questions and Answers (100% Correct Answers)

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Pharm Quiz 3 - GI & Male GU Verified and
Updated Questions and Answers (100%
Correct Answers)
Cimetidine (Tagamet)
Answer: • Antiacid/antihistamine


• Different pharmacokinetics from other agents


• Greater propensity to inhibit the metabolism of the P-450 cytochrome enzyme
system, therefore decreasing their clearance and enhancing the effects of other drugs
when administered concurrently.


• Dermatologists have suggested hi -dose cimetidine tid or qid for children to help
get rid of warts.


- It takes 2 to 3 months to see an improvement


Famotidine (Pepcid)
Answer: H2 Receptor Antagonist


Omeprazole (Prilosec)
Answer: • PPI


• Omeprazole chewable tablets should be taken once daily on an empty stomach, 1
hour prior to meals


• Dose for 4-8 weeks once a day, needs to be given an hour before meals


Pantoprazole (Protonix)
Answer: • PPI


• The only PPI on the TennCare PDL


• False-positive urine screening tests for tetrahydrocannabinol (THC)


Esomeprazole (Nexium)
Answer: • PPI

, Inquire through: | Professional | Confidential Support


• S-Isomer of omeprazole, metabolized slower than omeprazole


• For GERD take for 4-8 weeks


• For PUD take for 2 weeks - 6 months


• Most effective for GERD and PUD (before Zegrid was on the market)


Metoclopramide (reglan)
Answer: • MOA: increase esophageal motility and gastric emptying rate and perhaps
some effects to increase LES resting pressure


• 12 weeks maximum


• Give doses 30 min prior to meals


• SE: May cause dystonic (extrapyramidal or EPS) or tardive dyskinesia (TD) reactions,
can increase suicidality, more likely to have HTN crisis when taking with MAOI,
additive sedation with EtOH and Benzos


• Other indications: diabetic gastroparesis and an anti-emetic in cancer
chemotherapy.


Ondansetron (Zofran)
Answer: • Serotonin Antagonist


• MOA: work centrally in the chemoreceptor trigger zone and also peripherally in the
upper GI tract


• SE: constipation, headache, fatigue


Promethazine (Phenergan)
Answer: • MOA: involves dopamine receptor blockade in the chemoreceptor trigger
zone


• Not be used age 2 years


• Pregnancy Category C


• Given orally, rectally, or parenterally.

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