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Exam (elaborations)

AGNP BOARD EXAM ANSWERS – GASTROENTEROLOGY PRESCRIPTION

AGNP BOARD EXAM ANSWERS – GASTROENTEROLOGY PRESCRIPTION-AGNP BOARD EXAM QUESTIONS Prescription Gastroenterology (85 Questions) A 45-year-old woman has been taking oral omeprazole (Prilosec) 40 mg twice daily for the treatment of gastroesophageal reflux. To discontinue the medication the nurse practitioner would: Patients receiving long-term proton pump inhibitors (PPIs) are at increased risk for fractures and: Ondansetron (Zofran) dosage should be adjusted in patients: The antiemetic that does NOT have potential to cause QT prolongation is: Promethazine (Phenergan), a 1st generation antihistamine, is contraindicated in the presence of: Oral metoclopramide is contraindicated in the patient diagnosed with: Hyperosmotic agents and saline laxatives should be avoided or used with caution in patients who have: Corticosteroids, used in the treatment of ulcerative colitis, usually do NOT: The plasma elimination half-life of esomeprazole (Nexium) is: Proton pump inhibitors (PPIs), such as pantoprazole (Protonix), block gastrointestinal acid secretion by: A 7-10 day regimen of ciprofloxacin (Cipro) plus metronidazole (Flagyl) is indicated for the outpatient treatment of: Ranitidine (Zantac), a histamine receptor antagonist, is contraindicated in: A patient who has been taking a proton pump inhibitor for the last 6 months reports persistent diarrhea for the past 3 weeks. The nurse practitioner should consider: Histamine receptor antagonists (H2RA), such as famotidine (Pepcid), inhibit acid secretions by: The length of treatment for oral metoclopramide should NOT exceed: A 42-year-old patient is being treated with 40 mg of famotidine (Pepcid) daily for the treatment of duodenal ulcers. The best time for the patient to take this medication is: Topical steroid cream, used in the treatment of hemorrhoids, should be applied twice daily for no more than: The drug of choice for the prevention of postoperative nausea and vomiting (PONV) is: Long-term use of histamine receptor antagonists (H2RA), such as ranitidine (Zantac), has been associated with: Due to potential for extrapyramidal symptoms, oral metoclopramide (Reglan) should NOT be administered concomitantly with: Prior to the initiation of long-term treatment with a proton pump inhibitor (PPI) and periodically during therapy, the nurse practitioner should monitor serum: Drug classes used as antiemetics do NOT include: Patients who take corticosteroids for Crohn’s disease should be instructed to notify the nurse practitioner if pain develops in the: Corticosteroids, used in the treatment of ulcerative colitis, are produced by the: Metoclopramide, for the treatment of gastroesophageal reflux, should be administered orally: The brand name of omeprazole is: Which medication may be used in infants for the treatment of functional constipation? Patients should be advised to remove the scopolamine patch if an adverse reaction occurs, such as: For patients who didn’t respond to an initial course of triple therapy for Helicobacter pylori, an alternate regimen should be prescribed. It would include a proton pump inhibitor (PPI) and: In the patient with an allergy to penicillin, treatment of Helicobacter pylori would include a proton pump inhibitor plus: The brand name of pantoprazole is: In patients with severe renal failure, the dosage of histamine receptor antagonists (H2RA) should be reduced by: The bioavailability and time to peak of oral ondansetron (Zofran) in the treatment of noncancerous nausea and vomiting are: The generic name for Dramamine is: Which of the following agents is NOT typically used to treat symptoms of pain and bloating associated with diarrhea-predominant irritable bowel syndrome (IBS)? The duration of action of meclizine (Antivert) is: Quadruple therapy for the treatment of peptic ulcer disease caused by Helicobacter pylori consists of: The brand name for esomeprazole is: The brand name of prochlorperazine maleate is: Scopolamine (Transderm-Scop) is indicated for the treatment of nausea and vomiting associated with: Triple therapy for treatment of peptic ulcer disease caused by Helicobacter pylori consists of: The brand name of metoclopramide, an antiemetic, is: A patient who has failed two courses of therapy for Helicobacter pylori should: Ondansetron (Zofran) is available as: The first-line regimen for the treatment of Helicobacter pylori is a proton pump inhibitor (PPI) plus: Lubiprostone (Amitiza), used in the treatment of chronic constipation, is contraindicated in patients who have: A 54-year-old man is diagnosed with diabetic gastroparesis. The drug that will promote gastrointestinal tract motility and produce an antiemetic effect is: The dose of prochlorperazine should be initiated at the lowest dose and titrated slowly in: Due to safety concerns, scopolamine should be used with caution: Antacids that contain aluminum hydroxide commonly cause: The most commonly reported side effect of metronidazole and clarithromycin combination therapy for Helicobacter pylori is: The following medication should NOT be administered concomitantly with clopidogrel (Plavix): Pantoprazole, a proton pump inhibitor, given with antibiotics for triple therapy treatment of Helicobacter pylori should be administered: Oral promethazine used for the treatment of nausea and vomiting should be administered as needed every: The brand name of famotidine is: Which of the following is NOT a contraindication for bismuth subsalicylate (Pepto-Bismol)? Patients should be advised to stop taking promethazine (Phenergan) and seek care if they develop: An antacid that may cause constipation is: The recommended duration of therapy for eradication of Helicobacter pylori is: Prochlorperazine and chlorpromazine are classified as: Infliximab (Remicade), a tumor necrosis factor inhibitor, is: Promethazine (Phenergan) should not be used in children younger than 2 years due to: Which of the following medications used for the treatment of GERD works by neutralizing hydrochloric (HCl) acid in the stomach to rapidly increase gastric pH? Helicobacter pylori is naturally resistant to: To reduce possible side effects related to triple therapy for the treatment of Helicobacter pylori, patients should be advised to: The scopolamine patch should be applied: The class of medications most useful in the treatment of chemotherapy induced nausea and vomiting is the: Which of the following laxatives should be avoided in patients who have renal impairment? How much fiber is optimal for a patient with hemorrhoids? Prolonged use of metoclopramide (Reglan) for the treatment of gastroparesis may cause: Histamine receptor antagonists (H2RA), such as ranitidine (Zantac), reach peak serum concentrations within: The antibiotics in triple therapy for the treatment of Helicobacter pylori should be administered: Which therapy should be initiated in a patient with moderate Clostridium difficile infection who has failed to respond to treatment with metronidazole (Flagyl)? Rabeprazole (Aciphex), used in the treatment of gastroesophageal reflux, is classified as a(n): Metoclopramide (Reglan), an antiemetic, increases gastric motility by: Which of the following is NOT a 5-HT3 receptor antagonist? First-line therapy for the empiric treatment of peptic ulcer disease includes treatment of the underlying cause plus: The medication that suppresses vestibular end-organ receptors and inhibits activation of central cholinergic pathways is: The most commonly reported side effects of oral ondansetron (Zofran) are: The medication class indicated for the intermittent (on-demand) relief of mild gastroesophageal reflux is: In addition to metoclopramide (Reglan), another prokinetic drug used to improve gastric motility is: Anticholinergic agents reduce nausea and vomiting by antagonizing the: Which of the following medications is classified as an antihistamine and a phenothiazine? To prevent motion sickness, a patient who is preparing to go on a cruise should be advised to apply the scopolamine patch: Side effects related to transdermal scopolamine may include:

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