Gastrointestinal System

Question 1

Med for Histamine H2 Antagonist

Answer 1

Cimetidine

Question 2

Complications for cimetidine

Answer 2

blocked androgen receptors*, lethargy, hallucinations, confusion, restlessness, constipation, n/d

Question 3

med for proton pump inhibitors

Answer 3

omeprazole and pantoprazole

Question 4

complications of omeprazole

Answer 4

pneumonia, osteoporosis, fractures, rebound acid hypersecretion, hypomagnesemia, C. diff associated diarrhea

Question 5

manifestations of hypomagnesemia

Answer 5

tremors, muscle cramps, seizures

Question 6

manifestations of Cdiff

Answer 6

fever, diarrhea, abdominal cramping, bloody stool

Question 7

med for mucosal protectant

Answer 7

sucralfate

Question 8

complications of sucralfate

Answer 8

constipation

Question 9

med for antacids

Answer 9

aluminum hydroxide

Question 10

complications of aluminum or magnesium hydroxide

Answer 10

constipation, diarrhea, fluid retention, hypophosphatemia, hypercalcemia, alkalosis, toxicity, hypermagnesemia

Question 11

med for prokinetic agents

Answer 11

metoclopramide

Question 12

complications of metoclopramide

Answer 12

tardive dyskinesia, extrapyramidal symptoms, sedation, diarrhea

Question 13

med for IBS-D

Answer 13

alosetron

Question 14

complications of alosetron

Answer 14

constipation, GI toxicity (ischemic colitis, bowel obstruction, impaction, or perforation)

Question 15

med for iron preparations

Answer 15

ferrous sulfate, iron dextran

Question 15

complications of ferrous sulfate and iron dextran

Answer 15

nausea, constipation, heart burn, teeth staining, staining of skin/ tissues, anaphylaxis, hypotension, iron toxicity in children

Question 16

med for estrogens

Answer 16

conjugated equine estrogens

Question 17

complications of conjugated equine estrogens

Answer 17

endometrial and ovarian cancers, risk for breast cancer, altered coagulation, risk for heart disease

Question 18

med for progesterones

Answer 18

medroxyprogesterone

Question 19

complications of medroxyprogesterone

Answer 19

breast cancer, thromboembolic events, brreakthrough bleeding, amenorrhea, breast tenderness, edema, jaundice, migraine

Question 20

complications of hormonal contraceptives

Answer 20

thromboembolic events, HTN, breakthrough or irregular uterine bleeding, breast cancer, hyperglycemia, hyperkalemia

Question 21

med for 5-alpha reductase inhibitors

Answer 21

finasteride

Question 22

complications of finasteride

Answer 22

decreased libido, decreased ejaculate volume, gynecomastia

Question 23

med for alpha1 adrenergic antagonists

Answer 23

tamsulosin

Question 24

complications of tamsulosin

Answer 24

HoTN, dizzy, congestion, sleepy, faint, decreased ejaculation, floppy iris syndrome

Question 25

med for uterine stimulants: oxytocics

Answer 25

oxytocin

Question 26

complications of oxytocin

Answer 26

uterine rupture, uterine tachysystole, placental abruption, water intoxication

Question 27

Potassium Supplements complications

Answer 27

gi ulceration, nvd, ab pain, esophagitis, hyperkalemia (bradycardia, vomiting, confusion, anxiety, dyspnea, weakness, numbness, tingling)

Question 28

Complications Magnesium sulfate/citrate

Answer 28

muscle weakness, flaccid paralysis, painful muscle contractions, suppression of AV conduction, respiratory depression, diarrhea

Question 29

Lab values for potassium and magnesium

Answer 29

3.5 - 5 1.5-2.5 roughly

Question 30

Complications of lactulose

Answer 30

GI irritation, rectal burning, proctitis, magnesium toxicity, sodium absorption, fluid retention, dehydration, obstruction

Question 31

s/s magnesium toxicity

Answer 31

respiratory depression, absent deep tendon reflexes, muscle weakness, painful muscle contractions

Question 32

Med for magnesium toxicity

Answer 32

calcium gluconate