Apea (Gastro)

APEA (GASTRO) EXAM QUESTIONS AND CORRECT ANSWERS 100% PASS (A+) Metoclopramide (Reglan), an antiemetic, increases gastric motility by: - Answer blocking dopamine and serotonin receptors and enhancing the action of acetylcholine The class of medications most useful in the tx of chemo induced nausea and vomiting is the: - Answer Serotonin receptor antagonists-5-HT3 receptors antagonists ending in -setron The length of tx for oral metoclopramide should not exceed: - Answer 12 weeks, for adult use only, risk the development of tardive dyskinesia For pts who didn't respond to an initial course of triple therapy for H. pylori, an alternate regimen should be prescribed. It would include a PPI &: - Answer Metronidazole & tetracycline The following medication should not be administered concomitantly with clopidogrel (Plavix): - Answer Omeprazole (Prilosec)-reduces the effect of Plavix by blocking the conversion to its active form The most commonly reported side effect of metronidazole and clarithromycin combination therapy for H. pylori is: - Answer metallic taste H. pylori is naturally resistant to: - Answer Trimethoprim/sulfamethoxazole (Bactrim) Which of the following medications is classified as n antihistamine and a phenothiazine? - Answer Promethazine (Phenergan) In addition to metoclopramide (Reglan), another prokinetic drug used to improve gastric motility is: - Answer Erythromycin base (Ery-tab)-enhance emptying the stomach and/or gut and enhance the contractions of the gut The plasma elimination half-life of esomeprazole (Nexium) is: - Answer 1-1.5 hours Promethazine (Phenergan) should not be used in children younger than 2 years due to: - Answer respiratory depression-1st gen antihistamine A pt who has failed 2 courses of therapy for H. pylori should: - Answer Receive reinforced education about compliance with meds-often times the cause of tx failure Rabeprazole (Aciphex), used in the tx of reflux, is classified as a(n): - Answer PPI The brand name for famotidine is: - Answer Pepcid Pts should be advised to remove the scopolamine patch if an adverse reaction occurs, such as: - Answer Confusion Which therapy should be initiated in a pt with moderate C. dif infection who has failed to respond to tx with metronidazole (Flagyl)? - Answer Oral vancomycin-indicated for the tx of initial episode of mild to mod infection Scopolamine (Transderm-Scop) is indicated for the tx of nausea and vomiting associated with: - Answer Motion sickness Promethazine (Phenergan), a 1st gen antihistamine, is contraindicated in the presence of: - Answer Asthma Oral promethazine used for the tx of nausea and vomiting should be administered as needed every: - Answer 4 hours