Final Exam - IBS Flashcards

1
Q

4 different types of IBS

A

IBS-U (undefined)
IBS-M (mixed)
IBS-C (constipation predominant)
IBS-D (diarrhea predominant)

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2
Q

last line of therapy for IBS-C

A

SSRIs

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3
Q

SSRIs MOA for IBS-C

A

reduce visceral sensitivity

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4
Q

tegaserod MOA

A

5-HT4 agonist (stimulates peristalsis and GI secretions)

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5
Q

first step for IBS-D

A

dietary modifications

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6
Q

2nd step for IBS-D

A

add loperamide or anti-spasmodic agent (dicyclomine)

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7
Q

eluxadoline brand name

A

viberzi

(opioid receptor antagonist)

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8
Q

antidepressants (TCA) are most beneficial in patients with ?

A

IBS-D

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9
Q

max daily dose for Lomotil

A

20 mg

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10
Q

true or false: alosetron (Lotronex) is a 5-HT4 receptor antagonist

A

false (it is a 5-HT3 receptor antagonist)

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11
Q

rifaximin MOA for IBS-D

A

poorly absorbed non-systemic broad-spectrum antibiotic that targets the gut

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