APEA GASTRO END OF TERM
Exam Questions with Correct
Answers Updated 2025/2026
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1. Lubiprostone (Amitiza), used in the tx of chronic constipation, is
contraindicated in pts who have: - ANSWER ✅Suspected mechanical bowel
obstruction
2. The brand name for metoclopramide, an antiemetic, is: - ANSWER ✅Reglan
3. Which of the following medications used for the tx of GERD works by
neutralizing hydrochloric (HCl) acid in the stomach to rapidly increase gastric
pH? - ANSWER ✅Calcium carbonate (Tums)
4. The medication class indicated for the intermittent (on-demand) relief of mild
gastroesophageal reflux is: - ANSWER ✅antacids
5. Side effects related to transdermal scopolamine may include: - ANSWER
✅Urinary retention
6. Oral metoclopramide is contraindicated in the patient diagnosed with: -
ANSWER ✅Epilepsy
7. Which of the following is NOT a 5-HT3 receptor antagonist? - ANSWER
✅Prochlorperazine (Compazine)
8. The brand name of pantoprazole is: - ANSWER ✅Protonix
, 9. The medication that suppresses vestibular end-organ receptors and inhibits
activation of central cholinergic pathways is: - ANSWER ✅Meclizine
(Antivert)-1st gen antihistamine
10.The 1st line regimen for the tx of H. pylori is a PPI plus: - ANSWER
✅Amoxicillin & clarithromycin
11.Histamine receptor antagonists (H2RA), such as famotidine (Pepcid), inhibit
acid secretions by: - ANSWER ✅Blocking the parietal cells (acid-producers)
from responding to histamine
12.Prior to the initiation of long-term tx with a PPI and periodically during
therapy, the NP should monitor serum: - ANSWER ✅Mag-reduced intestinal
absorption has led to hypomagnesemia
13.The recommended duration of therapy for eradication of H. pylori is: -
ANSWER ✅14 days-most effective
14.Hyperosmotic agents and saline laxatives should be avoided or used with
caution in pts who have: - ANSWER ✅Heart failure-may seriously alter fluid
and electrolyte balance
15.In the pt with an allergy to penicillin, tx of H. pylori would include a PPI plus:
- ANSWER ✅Metronidazole & clarithromycin
16.The dose of prochlorperazine should be initiated at the lowest dose and titrated
slowly in: - ANSWER ✅A 70-year old man
17.Which of the following is NOT a contraindication for bismuth subsalicylate
(Bepto-Bismol)? - ANSWER ✅Penicillin allergy
18.Ondansetron (Zofran) is available as: - ANSWER ✅PO, IM & IV
19.PPIs, such as pantoprazole (Protonix), block GI acid secretion by: - ANSWER
✅Inhibiting the hydrogen-K+ ATPase transport enzyme
Exam Questions with Correct
Answers Updated 2025/2026
Syllabus A+ GRADED!!100%
GUARANTEED PASS!!!<<LATEST
VERSION>>
1. Lubiprostone (Amitiza), used in the tx of chronic constipation, is
contraindicated in pts who have: - ANSWER ✅Suspected mechanical bowel
obstruction
2. The brand name for metoclopramide, an antiemetic, is: - ANSWER ✅Reglan
3. Which of the following medications used for the tx of GERD works by
neutralizing hydrochloric (HCl) acid in the stomach to rapidly increase gastric
pH? - ANSWER ✅Calcium carbonate (Tums)
4. The medication class indicated for the intermittent (on-demand) relief of mild
gastroesophageal reflux is: - ANSWER ✅antacids
5. Side effects related to transdermal scopolamine may include: - ANSWER
✅Urinary retention
6. Oral metoclopramide is contraindicated in the patient diagnosed with: -
ANSWER ✅Epilepsy
7. Which of the following is NOT a 5-HT3 receptor antagonist? - ANSWER
✅Prochlorperazine (Compazine)
8. The brand name of pantoprazole is: - ANSWER ✅Protonix
, 9. The medication that suppresses vestibular end-organ receptors and inhibits
activation of central cholinergic pathways is: - ANSWER ✅Meclizine
(Antivert)-1st gen antihistamine
10.The 1st line regimen for the tx of H. pylori is a PPI plus: - ANSWER
✅Amoxicillin & clarithromycin
11.Histamine receptor antagonists (H2RA), such as famotidine (Pepcid), inhibit
acid secretions by: - ANSWER ✅Blocking the parietal cells (acid-producers)
from responding to histamine
12.Prior to the initiation of long-term tx with a PPI and periodically during
therapy, the NP should monitor serum: - ANSWER ✅Mag-reduced intestinal
absorption has led to hypomagnesemia
13.The recommended duration of therapy for eradication of H. pylori is: -
ANSWER ✅14 days-most effective
14.Hyperosmotic agents and saline laxatives should be avoided or used with
caution in pts who have: - ANSWER ✅Heart failure-may seriously alter fluid
and electrolyte balance
15.In the pt with an allergy to penicillin, tx of H. pylori would include a PPI plus:
- ANSWER ✅Metronidazole & clarithromycin
16.The dose of prochlorperazine should be initiated at the lowest dose and titrated
slowly in: - ANSWER ✅A 70-year old man
17.Which of the following is NOT a contraindication for bismuth subsalicylate
(Bepto-Bismol)? - ANSWER ✅Penicillin allergy
18.Ondansetron (Zofran) is available as: - ANSWER ✅PO, IM & IV
19.PPIs, such as pantoprazole (Protonix), block GI acid secretion by: - ANSWER
✅Inhibiting the hydrogen-K+ ATPase transport enzyme
