APEA GASTRO EXAM VERIFIED
QUESTIONS AND CORRECT
ANSWERS
\.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
QUESTIONS AND CORRECT
ANSWERS
\.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
