Maryville pharm Exam 4 Questions With Complete Solutions
Adverse effects of chronic long-term use of PPI? correct answer: osteoporosis What is the most common cause of PUD? correct answer: H. pylori followed by NSAIDS and ASA How to initially treat PUD and H. pylori? correct answer: Triple Therapy; PPI BID, Amoxil 1 gm BID (metronidazole if allergic), Clarithromycin 500 mg QD 7-14 days If initial treatment fails what is the next line of therapy for H. pylori? correct answer: Quadruple therapy; PPI BID 8-12 weeks, metronidazole, tetracycline, bismuth subsalicylate x 14 days How is H. pylori transmitted? correct answer: fecal-oral How is Carafate given and what does it do? correct answer: 30 before meals with no other meds; binds to lesion to protect from stomach acid 1. What is the Step Down Approach with GERD? correct answer: (GOAL to step down to lower PPI dose or trans to H2Ra) PPI QD x 8 wks, if not working then BID x 4-8 weeks; after 4 wks lower PPI; if no better in 8 weeks a
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maryville pharm exam 4 questions with complete sol
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