questions with correct answers rated A+
1. characteristics
of ulcers
2. medications
-anticoagulants
that cause
-ASA
increased risk
-bisphosphonates
of ulcer for-
-clopidogrel
mation
-SSRI
-steroids
- >65
3. risk factors for
developing NSAID - multiple high dose NSAIDs
induced ulcers
7. treatment of H. pylori
4. which type of
ul- cer pain is
re- ceived by
food
5. which type of
ul- cer pain is
exacer- bated
by food
6. nonpharmacolog
- ic therapy for
ulcers
1/
59
,Pharmacotherapy 4 Final Exam Overview
questions with correct answers rated A+
-H. pylori infection duodenal
-cigarette smoking
-alcohol consumption
-
stomach
p
r
-smoking cessation
e -stress reduction
-diet modification (avoid alcohol, spicy foods, catteine)
v
-surgery (rare)
i
bismuth quadruple therapy
o -bismuth subsalicylate
-metronidazole
u
s
u
l
c
e
r
s
2/
59
, Pharmacotherapy 4 Final Exam
Overview
-tetracycline
-any PPI or H2RA
8. treatment of concomitant non-bismuth therapy
H.
pylori in ASA aller- - amoxicillin
gy -clarithromycin
-metronidazole
-any PPI
9. treatment -H2RA if CrCl >/= 50
of stress -PPI if CrCl < 50
ulcers
-C. ditt history and CrCl >50- dose adjust H2RA
-chronic GERD (>5y) +
10. who should -heartburn and/or regurgitation weekly +
be screened
for GERD 2 or more of
- >50y
-white
-central obesity
-tobacco use
-family hx of Barrett's or adenocarcinoma
11. ALARM symptoms - dysphagia
of GERD -odynophagia
-weight loss
-bleeding
12. nonpharmacolog -weight loss
- ic therapy for -body positioning (head of bed elevation, lying on left side)
GERD -dietary modifications (avoid meals <3h from bedtime)
3/
59
, Pharmacotherapy 4 Final Exam
Overview
-smoking cessation
4/
59