AG-ACNP - GI question n answers graded A+ 2023/2024

AG-ACNP - GI What bacteria is associated with >90% duodenal ulcers and >75% gastric ulcers? - correct answer H. pylori Which medications cause peptic ulcer disease? - correct answer NSAIDS ASA Glucocorticoids At what age do duodenal ulcers typically present? - correct answer 30-55 yo. At what age do gastric ulcers typically present? - correct answer 55-65 years old What are the signs and symptoms associated with a duodenal ulcer? - correct answer Gnawing, epigastric pain Relief of pain WITH eating What are the signs and symptoms associated with a gastric ulcer? - correct answer Gnawing, epigastric pain Pain WORSENS with eating What are the expected physical findings associated with PUD? - correct answer Physical exam unremarkable GI bleeding - melena, hematemesis or coffee-ground emesis (duodenum) In a patient presenting with coffee-ground emesis, where does the ACNP suspect the ulcer is located? - correct answer In the duodenum What are the signs and symptoms of a perforated peptic ulcer? - correct answer Severe epigastric pain BOARD LIKE abdomen QUIET BOWEL SOUNDS Acute abdomen What is the first-line treatment in PUD? - correct answer H2 Blocker - Ranitidine (Zantac) 300 mg/hr at SLEEP Famotidine (Pepcid) 40 mg/hrs at SLEEP When should you educate patients on administration of a Proton Pump Inhibitor? - correct answer Patient should take PPI 30 minutes before meals What is the BBW associated with PPIs? - correct answer HIP FRACTURE What is the dosing for PPIs in PUD? - correct answer Pantoprazole (Protonix) 40 mg/day Omeprazole (Prilosec) 20 mg/day What patient education is needed when prescribing Mucosal Protective Agents? - correct answer Sucralfate (Carafate) 1 gm PO QID Requires acidic environment - avoid ANTACIDS and H2 Blockers What medication used in treatment of PUD is also associated with decreases in nosocomial PNA? - correct answer sucralfate (Carafate) - mucosal protective agent What medication indicated in the management of PUD has antimicrobial action against H.Pylori? - correct answer bismuth subsalicylate (Pepto-Bismol) Which medication is used as ppx against NSAID-induced peptic ulcers? - correct answer misoprostol (Cytotec) What are examples of antacids? - correct answer Mylanta