APEA GASTRO UPDATED ACTUAL
Questions and CORRECT Answers
Metoclopramide (Reglan), an antiemetic, increases gastric motility by: - CORRECT
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: -
CORRECT ANSWER✔✔- Serotonin receptor antagonists-5-HT3 receptors antagonists
ending in -setron
The length of tx for oral metoclopramide should not exceed: - CORRECT 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 &: - CORRECT ANSWER✔✔-
Metronidazole & tetracycline
The following medication should not be administered concomitantly with clopidogrel
(Plavix): - CORRECT 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: - CORRECT ANSWER✔✔- metallic taste
H. pylori is naturally resistant to: - CORRECT ANSWER✔✔-
Trimethoprim/sulfamethoxazole (Bactrim)
Which of the following medications is classified as n antihistamine and a phenothiazine? -
CORRECT ANSWER✔✔- Promethazine (Phenergan)
In addition to metoclopramide (Reglan), another prokinetic drug used to improve gastric
motility is: - CORRECT 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: - CORRECT ANSWER✔✔-
1-1.5 hours
Promethazine (Phenergan) should not be used in children younger than 2 years due to: -
CORRECT ANSWER✔✔- respiratory depression-1st gen antihistamine
A pt who has failed 2 courses of therapy for H. pylori should: - CORRECT 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): - CORRECT
ANSWER✔✔- PPI
The brand name for famotidine is: - CORRECT ANSWER✔✔- Pepcid
Pts should be advised to remove the scopolamine patch if an adverse reaction occurs, such as:
- CORRECT 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)? - CORRECT 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: - CORRECT ANSWER✔✔- Motion sickness
Promethazine (Phenergan), a 1st gen antihistamine, is contraindicated in the presence of: -
CORRECT ANSWER✔✔- Asthma
Oral promethazine used for the tx of nausea and vomiting should be administered as needed
every: - CORRECT ANSWER✔✔- 4 hours
The scopolamine patch should be applied: - CORRECT ANSWER✔✔- Behind the ear
Questions and CORRECT Answers
Metoclopramide (Reglan), an antiemetic, increases gastric motility by: - CORRECT
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: -
CORRECT ANSWER✔✔- Serotonin receptor antagonists-5-HT3 receptors antagonists
ending in -setron
The length of tx for oral metoclopramide should not exceed: - CORRECT 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 &: - CORRECT ANSWER✔✔-
Metronidazole & tetracycline
The following medication should not be administered concomitantly with clopidogrel
(Plavix): - CORRECT 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: - CORRECT ANSWER✔✔- metallic taste
H. pylori is naturally resistant to: - CORRECT ANSWER✔✔-
Trimethoprim/sulfamethoxazole (Bactrim)
Which of the following medications is classified as n antihistamine and a phenothiazine? -
CORRECT ANSWER✔✔- Promethazine (Phenergan)
In addition to metoclopramide (Reglan), another prokinetic drug used to improve gastric
motility is: - CORRECT 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: - CORRECT ANSWER✔✔-
1-1.5 hours
Promethazine (Phenergan) should not be used in children younger than 2 years due to: -
CORRECT ANSWER✔✔- respiratory depression-1st gen antihistamine
A pt who has failed 2 courses of therapy for H. pylori should: - CORRECT 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): - CORRECT
ANSWER✔✔- PPI
The brand name for famotidine is: - CORRECT ANSWER✔✔- Pepcid
Pts should be advised to remove the scopolamine patch if an adverse reaction occurs, such as:
- CORRECT 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)? - CORRECT 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: - CORRECT ANSWER✔✔- Motion sickness
Promethazine (Phenergan), a 1st gen antihistamine, is contraindicated in the presence of: -
CORRECT ANSWER✔✔- Asthma
Oral promethazine used for the tx of nausea and vomiting should be administered as needed
every: - CORRECT ANSWER✔✔- 4 hours
The scopolamine patch should be applied: - CORRECT ANSWER✔✔- Behind the ear
