MN 553 CORE EXAM TEST QUESTIONS AND SOLUTIONS
RATED A+
✔✔Patients who are on chronic long-term proton pump inhibitor therapy require
monitoring for:
1. Iron deficiency anemia, vitamin B12 and calcium deficiency
2. Folate and magnesium deficiency
3. Elevated uric acid levels leading to gout
4. Hypokalemia and hypocalcemia - ✔✔1. Iron deficiency anemia, vitamin B12 and
calcium deficiency
✔✔Sadie is a 72-year-old patient who takes omeprazole for her chronic GERD. Chronic
long-term omeprazole use places her at increased risk for:
1. Megaloblastic anemia
2. Osteoporosis
3. Hypertension
4. Strokes - ✔✔1. Megaloblastic anemia
✔✔Patrick is a 10-year-old patient who presents with uncomfortable constipation. Along
with diet changes, a laxative is ordered to provide more rapid relief of constipation. An
appropriate choice of medication for a 10- year-old child would be:
1. PEG 3350 (Miralax)
2. Bisacodyl (Dulcolax) suppository
3. Docusate (Colace) suppository
4. Polyethylene glycol electrolyte solution - ✔✔2. Bisacodyl (Dulcolax) suppository
✔✔Methylnaltrexone is used to treat constipation in:
1. Patients with functional constipation
2. Patients with irritable bowel syndrome-associated constipation
3. Children with encopresis
4. Opioid-associated constipation - ✔✔4. Opioid-associated constipation
✔✔An elderly person has been prescribed lactulose for treatment of chronic
constipation. Monitoring with long-term treatment would include:
1. Electrolytes, including potassium and chloride
2. Bone mineral density for osteoporosis
3. Magnesium level
4. Liver function - ✔✔1. Electrolytes, including potassium and chloride
, ✔✔Gastroesophageal reflux disease may be aggravated by the following medication
that affects lower esophageal sphincter (LES) tone:
1. Calcium carbonate
2. Estrogen
3. Furosemide
4. Metoclopramide - ✔✔2. Estrogen
✔✔Lifestyle changes are the first step in the treatment of gastroesophageal reflux
disease (GERD). Food or drink that may aggravate GERD include:
1. Eggs
2. Caffeine
3. Chocolate
4. Soda pop - ✔✔2. Caffeine
✔✔Metoclopramide improves gastroesophageal reflux disease symptoms by:
1. Reducing acid secretion
2. Increasing gastric pH
3. Increasing lower esophageal tone
4. Decreasing lower esophageal tone - ✔✔3. Increasing lower esophageal tone
✔✔Antacids treat gastroesophageal reflux disease by:
1- Increasing lower esophageal tone
2- Increasing gastric pH
3- Inhibiting gastric acid secretion
4- Increasing serum calcium level - ✔✔2- Increasing gastric pH
✔✔When treating patients using the "Step-Down" approach, the patient with
gastroesophageal reflux disease is started on first.
1. Antacids
2. Histamine2 receptor antagonists
3. Prokinetics
4. Proton pump inhibitors - ✔✔4. Proton pump inhibitors
✔✔If a patient with symptoms of gastroesophageal reflux disease states that he has
been self-treating at home with OTC ranitidine daily, the appropriate treatment would
be:
1. Prokinetic (metoclopramide) for 4 to 8 weeks
2. Proton pump inhibitor (omeprazole) for 12 weeks
3. Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks
RATED A+
✔✔Patients who are on chronic long-term proton pump inhibitor therapy require
monitoring for:
1. Iron deficiency anemia, vitamin B12 and calcium deficiency
2. Folate and magnesium deficiency
3. Elevated uric acid levels leading to gout
4. Hypokalemia and hypocalcemia - ✔✔1. Iron deficiency anemia, vitamin B12 and
calcium deficiency
✔✔Sadie is a 72-year-old patient who takes omeprazole for her chronic GERD. Chronic
long-term omeprazole use places her at increased risk for:
1. Megaloblastic anemia
2. Osteoporosis
3. Hypertension
4. Strokes - ✔✔1. Megaloblastic anemia
✔✔Patrick is a 10-year-old patient who presents with uncomfortable constipation. Along
with diet changes, a laxative is ordered to provide more rapid relief of constipation. An
appropriate choice of medication for a 10- year-old child would be:
1. PEG 3350 (Miralax)
2. Bisacodyl (Dulcolax) suppository
3. Docusate (Colace) suppository
4. Polyethylene glycol electrolyte solution - ✔✔2. Bisacodyl (Dulcolax) suppository
✔✔Methylnaltrexone is used to treat constipation in:
1. Patients with functional constipation
2. Patients with irritable bowel syndrome-associated constipation
3. Children with encopresis
4. Opioid-associated constipation - ✔✔4. Opioid-associated constipation
✔✔An elderly person has been prescribed lactulose for treatment of chronic
constipation. Monitoring with long-term treatment would include:
1. Electrolytes, including potassium and chloride
2. Bone mineral density for osteoporosis
3. Magnesium level
4. Liver function - ✔✔1. Electrolytes, including potassium and chloride
, ✔✔Gastroesophageal reflux disease may be aggravated by the following medication
that affects lower esophageal sphincter (LES) tone:
1. Calcium carbonate
2. Estrogen
3. Furosemide
4. Metoclopramide - ✔✔2. Estrogen
✔✔Lifestyle changes are the first step in the treatment of gastroesophageal reflux
disease (GERD). Food or drink that may aggravate GERD include:
1. Eggs
2. Caffeine
3. Chocolate
4. Soda pop - ✔✔2. Caffeine
✔✔Metoclopramide improves gastroesophageal reflux disease symptoms by:
1. Reducing acid secretion
2. Increasing gastric pH
3. Increasing lower esophageal tone
4. Decreasing lower esophageal tone - ✔✔3. Increasing lower esophageal tone
✔✔Antacids treat gastroesophageal reflux disease by:
1- Increasing lower esophageal tone
2- Increasing gastric pH
3- Inhibiting gastric acid secretion
4- Increasing serum calcium level - ✔✔2- Increasing gastric pH
✔✔When treating patients using the "Step-Down" approach, the patient with
gastroesophageal reflux disease is started on first.
1. Antacids
2. Histamine2 receptor antagonists
3. Prokinetics
4. Proton pump inhibitors - ✔✔4. Proton pump inhibitors
✔✔If a patient with symptoms of gastroesophageal reflux disease states that he has
been self-treating at home with OTC ranitidine daily, the appropriate treatment would
be:
1. Prokinetic (metoclopramide) for 4 to 8 weeks
2. Proton pump inhibitor (omeprazole) for 12 weeks
3. Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks
