Question 1
pts
Which of the following medications places a patient at increased risk of developing chronic
kidney disease?
You Answered
Ranitidine
Omeprazole
Loperamide
Ondansetron
Question 2
pts
Bismuth subsalicylate (Pepto-Bismol) is a common over-the-counter (OTC) remedy for
gastrointestinal complaints. Bismuth subsalicylate:
May lead to toxicity if taken with ibuprofen
Is contraindicated in children with flu-like illness
Has no antimicrobial effects against bacterial and viral enteropathogens
May cause stools to turn reddish color
Question 3
pts
A patient has diarrhea and is wondering if they can take loperamide (Imodium). Loperamide:
Can be given to patients of all ages, including infants and children, for viral gastroenteritis
Slows gastric motility and reduces fluid and electrolyte loss from diarrhea
Is the treatment of choice for the diarrhea associated with E. coli 0157
May be used in pregnancy and by lactating women
Question 4
pts
Methylnaltrexone is used to treat constipation in:
Patients with functional constipation
Patients with irritable bowel syndrome-associated constipation
Children with encopresis
Correct!
Patients with opioid-associated constipation
Question 5
pts
, Many patients self-medicate with antacids. Which patients should be counseled to not take
calcium carbonate antacids without discussing it with their provider or a pharmacist first?
Correct!
Patients with kidney stones
Pregnant patients
Patients with heartburn
Postmenopausal women
Question 6
pts
Antacids treat GERD by:
Increasing lower esophageal tone
Increasing gastric pH
Inhibiting gastric acid secretion
Increasing serum calcium level
Question 7
pts
Treatment failure in patients with peptic ulcer disease associated with H. pylori may be
because of:
Correct!
Antimicrobial resistance
An ineffective antacid
Overuse of PPIs
All of the above
Question 8
pts
If a patient with symptoms of GERD states that he has been self-treating at home with over-
the-counter (OTC) ranitidine daily, the appropriate treatment would be:
Prokinetic (metoclopramide) for 4 to 8 weeks
PPI (omeprazole) for 12 weeks
Histamine-2 receptor antagonist (ranitidine) for 4 to 8 weeks
Cytoprotective drug (misoprostol) for two weeks
Question 9
pts
An acceptable first-line treatment for peptic ulcer disease with positive Helicobacter
pylori (H. pylori) test is:
pts
Which of the following medications places a patient at increased risk of developing chronic
kidney disease?
You Answered
Ranitidine
Omeprazole
Loperamide
Ondansetron
Question 2
pts
Bismuth subsalicylate (Pepto-Bismol) is a common over-the-counter (OTC) remedy for
gastrointestinal complaints. Bismuth subsalicylate:
May lead to toxicity if taken with ibuprofen
Is contraindicated in children with flu-like illness
Has no antimicrobial effects against bacterial and viral enteropathogens
May cause stools to turn reddish color
Question 3
pts
A patient has diarrhea and is wondering if they can take loperamide (Imodium). Loperamide:
Can be given to patients of all ages, including infants and children, for viral gastroenteritis
Slows gastric motility and reduces fluid and electrolyte loss from diarrhea
Is the treatment of choice for the diarrhea associated with E. coli 0157
May be used in pregnancy and by lactating women
Question 4
pts
Methylnaltrexone is used to treat constipation in:
Patients with functional constipation
Patients with irritable bowel syndrome-associated constipation
Children with encopresis
Correct!
Patients with opioid-associated constipation
Question 5
pts
, Many patients self-medicate with antacids. Which patients should be counseled to not take
calcium carbonate antacids without discussing it with their provider or a pharmacist first?
Correct!
Patients with kidney stones
Pregnant patients
Patients with heartburn
Postmenopausal women
Question 6
pts
Antacids treat GERD by:
Increasing lower esophageal tone
Increasing gastric pH
Inhibiting gastric acid secretion
Increasing serum calcium level
Question 7
pts
Treatment failure in patients with peptic ulcer disease associated with H. pylori may be
because of:
Correct!
Antimicrobial resistance
An ineffective antacid
Overuse of PPIs
All of the above
Question 8
pts
If a patient with symptoms of GERD states that he has been self-treating at home with over-
the-counter (OTC) ranitidine daily, the appropriate treatment would be:
Prokinetic (metoclopramide) for 4 to 8 weeks
PPI (omeprazole) for 12 weeks
Histamine-2 receptor antagonist (ranitidine) for 4 to 8 weeks
Cytoprotective drug (misoprostol) for two weeks
Question 9
pts
An acceptable first-line treatment for peptic ulcer disease with positive Helicobacter
pylori (H. pylori) test is:
