NUR661 W8 Exam Latest Update
GI drug that increases motility of the GI tract in the right direction, helping with GERD? -
Answer Metoclopramide (Reglan)
Temporary management of GERD? MOA? - Answer Antacids - increase gastric pH
Best recommended drug for GERD? MOA? - Answer Histamine 2 blockers - "tidine" -
reduce secretion of acid in the stomach
MOA of PPI? - Answer Reduce acid directly at the site of the acid pump in the stomach
"azole"
ADR of PPI? - Answer ADR: vitamin B12 deficiency, hip fractures
What should you do if a patient has been taking a PPI for 12-14 weeks with no
improvement? - Answer Schedule EGD
What organism causes gastric ulcers mostly? What is the treatment of choice? - Answer
H Pylori ---- 2 abx + PPI for 8-12 weeks
Pt is using azithromycin for a bronchial infection and is diagnosed with H pylori. What
would medication would you be sure to not use to treat the H Pylori? - Answer
Clarithromycin
Best drug treatment for panic disorder? - Answer diazepam (valium)
2 possible negative effects of antidepressants? - Answer Thyroid issues and sexual
dysfunction
What is the best drug for depression with lack of energy? - Answer Effexor
A pt wants to stop taking their antidepressant. What should you educate them on? -
Answer Taper it! Take ½ dose for 3-4 days and see how you feel first
Best drug for ADHD in school-aged kids? - Answer Methylphenidate (Ritalin)
A child is on methylphenidate for ADHD but has not seen any improvement in symptoms.
What would you switch them to? - Answer Dextroamphetamine (Adderall)
An adult pt is on methylphenidate for ADHD and is complaining of insomnia. What
medication would you add to their regimen to help with this? - Answer Clonidine
A patient is going to be stopping their ADHD medication. What medication should be
added to their regimen? - Answer Clonidine (alpha 2 agonist)
A pt reports their anxiety medication only working partially. Is this normal? - Answer No,
it should be completely treating them
GI drug that increases motility of the GI tract in the right direction, helping with GERD? -
Answer Metoclopramide (Reglan)
Temporary management of GERD? MOA? - Answer Antacids - increase gastric pH
Best recommended drug for GERD? MOA? - Answer Histamine 2 blockers - "tidine" -
reduce secretion of acid in the stomach
MOA of PPI? - Answer Reduce acid directly at the site of the acid pump in the stomach
"azole"
ADR of PPI? - Answer ADR: vitamin B12 deficiency, hip fractures
What should you do if a patient has been taking a PPI for 12-14 weeks with no
improvement? - Answer Schedule EGD
What organism causes gastric ulcers mostly? What is the treatment of choice? - Answer
H Pylori ---- 2 abx + PPI for 8-12 weeks
Pt is using azithromycin for a bronchial infection and is diagnosed with H pylori. What
would medication would you be sure to not use to treat the H Pylori? - Answer
Clarithromycin
Best drug treatment for panic disorder? - Answer diazepam (valium)
2 possible negative effects of antidepressants? - Answer Thyroid issues and sexual
dysfunction
What is the best drug for depression with lack of energy? - Answer Effexor
A pt wants to stop taking their antidepressant. What should you educate them on? -
Answer Taper it! Take ½ dose for 3-4 days and see how you feel first
Best drug for ADHD in school-aged kids? - Answer Methylphenidate (Ritalin)
A child is on methylphenidate for ADHD but has not seen any improvement in symptoms.
What would you switch them to? - Answer Dextroamphetamine (Adderall)
An adult pt is on methylphenidate for ADHD and is complaining of insomnia. What
medication would you add to their regimen to help with this? - Answer Clonidine
A patient is going to be stopping their ADHD medication. What medication should be
added to their regimen? - Answer Clonidine (alpha 2 agonist)
A pt reports their anxiety medication only working partially. Is this normal? - Answer No,
it should be completely treating them
