NP Certification GI questions & answers
which of the following in most likely to be found in a 50 yr old woman w/ new onset reflux
esophagitis?
recent initiation of estrogen-progestin hormonal therapy
recent wt loss
melena
evidence of H. pylori ✔️✔️estrogen-progestin
58 yo man recently began taking antihypertensive meds and reports "heartburn" has become
worse. he is most likely taking?
atenolol
trandolapril
amlodipine
losartan ✔️✔️amlodipine
You prescribe fluoroquinolone ABX to a 54 yo woman who has occasional GERD symptoms
that she treats w/ antacid. when discussing appropriate med use, you advise that she should take
the ABX?
w/ the antacid
separated from antacid 2-4 hours before and 4-6 hours after ABX
any time
, apart from the antacid by 1 hour on either side of the ABX ✔️✔️REVIEW book: 2-4 hours
and 4-6 hours
48 yo man w/ obesity and 1 yr Hx of classic GERD symptoms has been on consistent use of
therapeutic dose of PPI for 6 months. not better w/medication, cut out all alcohol and soda. Exam
wt stable, mildly erythematous pharynx, epigastric tenderness w/o rebound. next step?
GI series
referral for GERD surgery
further eval w/ upper GI
obtain FOBT testing ✔️✔️further eval w/ upper GI endoscopy
which is not an alarm finding in a person w/ GERD symptoms?
wt gain
dysphagia
odynophagia
IDA ✔️✔️wt gain
altering the gut pain threshold in IBS is a possible therapeutic outcome w/
loperamide
dicyclomine
bismuth subsalicylate
amitriptyline ✔️✔️amitriptyline
which of the following in most likely to be found in a 50 yr old woman w/ new onset reflux
esophagitis?
recent initiation of estrogen-progestin hormonal therapy
recent wt loss
melena
evidence of H. pylori ✔️✔️estrogen-progestin
58 yo man recently began taking antihypertensive meds and reports "heartburn" has become
worse. he is most likely taking?
atenolol
trandolapril
amlodipine
losartan ✔️✔️amlodipine
You prescribe fluoroquinolone ABX to a 54 yo woman who has occasional GERD symptoms
that she treats w/ antacid. when discussing appropriate med use, you advise that she should take
the ABX?
w/ the antacid
separated from antacid 2-4 hours before and 4-6 hours after ABX
any time
, apart from the antacid by 1 hour on either side of the ABX ✔️✔️REVIEW book: 2-4 hours
and 4-6 hours
48 yo man w/ obesity and 1 yr Hx of classic GERD symptoms has been on consistent use of
therapeutic dose of PPI for 6 months. not better w/medication, cut out all alcohol and soda. Exam
wt stable, mildly erythematous pharynx, epigastric tenderness w/o rebound. next step?
GI series
referral for GERD surgery
further eval w/ upper GI
obtain FOBT testing ✔️✔️further eval w/ upper GI endoscopy
which is not an alarm finding in a person w/ GERD symptoms?
wt gain
dysphagia
odynophagia
IDA ✔️✔️wt gain
altering the gut pain threshold in IBS is a possible therapeutic outcome w/
loperamide
dicyclomine
bismuth subsalicylate
amitriptyline ✔️✔️amitriptyline
