36. Gastroesophageal Reflux and Peptic Ulcer Disease
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Gastroesophageal reflux disease may be aggravated by the following medication that affects lower
esophageal sphincter (LES) tone:
1. Calcium carbonate
2. Estrogen
3. Furosemide
4. Metoclopramide
2. Lifestyle changes are the first step in treatment of gastroesophageal reflux disease (GERD). Food or
drink that may aggravate GERD include:
1. Eggs
2. Caffeine
3. Chocolate
4. Soda pop
3. Metoclopramide improves gastroesophageal reflux disease symptoms by:
1. Reducing acid secretion
2. Increasing gastric pH
3. Increasing lower esophageal tone
4. Decreasing lower esophageal tone
4. Antacids treat gastroesophageal reflux disease by:
1. Increasing lower esophageal tone
2. Increasing gastric pH
, 3. Inhibiting gastric acid secretion
4. Increasing serum calcium level
5. When treating patients using the “Step-Down” approach the patient with gastroesophageal reflux
disease is started on first.
1. Antacids
2. Histamine2 receptor antagonists
3. Prokinetics
4. Proton pump inhibitors
6. If a patient with symptoms of gastroesophageal reflux disease states that he has been self-treating at
home with OTC ranitidine daily, the appropriate treatment would be:
1. Prokinetic (metoclopramide) for 4 to 8 weeks
2. Proton pump inhibitor (omeprazole) for 12 weeks
3. Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks
4. Cytoprotective drug (misoprostol) for 2 weeks
7. If a patient with gastroesophageal reflux disease who is taking a proton pump inhibitor daily is not
improving, the plan of care would be:
1. Prokinetic (metoclopramide) for 8 to 12 weeks
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Gastroesophageal reflux disease may be aggravated by the following medication that affects lower
esophageal sphincter (LES) tone:
1. Calcium carbonate
2. Estrogen
3. Furosemide
4. Metoclopramide
2. Lifestyle changes are the first step in treatment of gastroesophageal reflux disease (GERD). Food or
drink that may aggravate GERD include:
1. Eggs
2. Caffeine
3. Chocolate
4. Soda pop
3. Metoclopramide improves gastroesophageal reflux disease symptoms by:
1. Reducing acid secretion
2. Increasing gastric pH
3. Increasing lower esophageal tone
4. Decreasing lower esophageal tone
4. Antacids treat gastroesophageal reflux disease by:
1. Increasing lower esophageal tone
2. Increasing gastric pH
, 3. Inhibiting gastric acid secretion
4. Increasing serum calcium level
5. When treating patients using the “Step-Down” approach the patient with gastroesophageal reflux
disease is started on first.
1. Antacids
2. Histamine2 receptor antagonists
3. Prokinetics
4. Proton pump inhibitors
6. If a patient with symptoms of gastroesophageal reflux disease states that he has been self-treating at
home with OTC ranitidine daily, the appropriate treatment would be:
1. Prokinetic (metoclopramide) for 4 to 8 weeks
2. Proton pump inhibitor (omeprazole) for 12 weeks
3. Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks
4. Cytoprotective drug (misoprostol) for 2 weeks
7. If a patient with gastroesophageal reflux disease who is taking a proton pump inhibitor daily is not
improving, the plan of care would be:
1. Prokinetic (metoclopramide) for 8 to 12 weeks
