Questions and CORRECT Answers
What are the 3 ways antiulcer drugs work? - CORRECT ANSWER - Eradicate h. pylori
(antibiotics)
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Reduce gastric acidity (antisecretory agents, misoprostol)
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Enhance mucosa defenses (sucralfate , misoprostol)
Kelly has diarrhea and is wondering if she can take loperamide for the diarrhea.
Loperamide:
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A. can be given to patients of all ages including infants and children, for viral
gastroenteritis
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B. slows gastric motility and reduces fluid and electrolyte loss from diarrhea
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C. Is the treatment of choice for diarrhea associated with E. coli 0157
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D. May be used in pregnancy and lactating women - CORRECT ANSWER - B. slows
gastric motility and reduced fluid and electrolyte loss from diarrhea
Bismuth subsalicylate is a common OTC remedy for GI complaints. Bismuth
subsalicylate:
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A. May lead to toxicity if taken with ASA
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B. Is contraindicated in children with flu like illness
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C. Has antimicrobial effects against bacterial and viral enteropathogens
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D. All of the above - CORRECT ANSWER - D. all of the 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:
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A. Loperamide four times a day throughout the trip
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B. Bismuth subsalicylate with each meal and at bedtime
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C. A prescription for diphenoxylate with atropine to use if she gets diarrhea
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D. Tums to take before each meal - CORRECT ANSWER - B. 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 medications. Which of the following
would be the appropriate drug to order for Josie?
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A. Prochlorperazine
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B. Meclizine
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