NSG 6005 WEEK 6 KNOWLEDGE CHECK QUIZ 2, PUD, GERD( UPDATE 2021)

NSG 6005 WEEK 6 KNOWLEDGE CHECK QUIZ 2, PUD, GERD Question 2. Lifestyle changes are the first step in the treatment of GERD. A food that may aggravate GERD is: Eggs Honey Dew Chocolate Chicken Question 3. Question : Jim presents w/ complaints of “heart burn” that is minimally relieved w/ Tums (calcium carbonate) and is diagnosed w/ GERD. An appropriate first step therapy would be: Student Answer: Omeprazole (Prilosec) twice a day Ranitidine (Zantac) twice a day Famotidine (Pepcid) once a day Metoclopramide (Reglan) four times a day Question 4. Question : Josie is a five-year-old who presents to the clinic w/ a forty-eight-hour history of nausea, vomiting, and some diarrhea. She is unable to keep fluids down, and her weight is 4 pounds less than her last recorded weight. Besides intravenous (IV) fluids, her exam warrants the use of an antinausea medication. Which of the following would be the appropriate drug to order for Josie? Student Answer: Prochlorperazine (Compazine) Meclizine (Antivert) Promethazine (Phenergan) Ondansetron (Zofran) Question 5. Question : Metoclopramide improves GERD symptoms by: Student Answer: Reducing acid secretion Increasing gastric pH Increasing lower esophageal tone Decreasing lower esophageal tone Question 6. Question : Antacids treat GERD by: Student Answer: Decreasing lower esophageal tone Increasing gastric pH Inhibiting gastric acid secretion Increasing the serum calcium level Question 10. Question : Many patients self-medicate w/ antacids. Which patients should be counseled to not take calcium carbonate antacids w/out discussing w/ their providers or a pharmacist first? Student Answer: Patients w/ kidney stones Pregnant patients Patients w/ heartburn Postmenopausal women Question 13. Question : When using the “step-up” approach in caring for a patient w/ GERD, the “step up” from OTC antacid use is: Student Answer: Prokinetic (metoclopramide) for four to eight weeks A PPI (omeprazole) for twelve weeks Histamine 2 receptor antagonist (ranitidine) for four to eight weeks Cytoprotective drug (misoprostol) for two weeks Question 14. Question : If a patient w/ H. pylori positive PUD fails first-line therapy, the second-line treatment is: Student Answer: A PPI BID plus metronidazole plus tetracycline plus bismuth subsalicylate for fourteen days Testing H. pylori for resistance to common treatment regimens A PPI plus clarithromycin plus amoxicillin for fourteen days A PPI and levofloxacin for fourteen days Question 17. Question : An acceptable first-line treatment for PUD disease w/ positive H. pylori test is: Student Answer: Histamine 2 receptor antagonists for four to eight weeks A PPI twice daily (BID) for twelve weeks until healing is complete A PPI BID plus clarithromycin plus amoxicillin for fourteen days A PPI BID and levofloxacin for fourteen days Question 20. Question : When treating a patient using the “step-down” approach, the patient w/ GERD is started on ____ first. Student Answer: antacids histamine 2 receptor antagonists prokinetics PPIs