GERD + PUD Flashcards

(46 cards)

1
Q

What is the generic of Pepcid?

A

Famotidine

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2
Q

Which of the following H2RA is available as IV formulation?

A. Famotidine
B. Nizatidine
C. Ranitidine
D. Cimetidine

A

A

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3
Q

Provider suspects H. pylori, which statement is best indicator that her suspicions are correct?

A. H. pylori occurs more frequently in patients with quinolone allergies
B. Negative Urea Breath test
C. Eating Lessens the pain
D. Eating worsens the pain
E. H. pylori occurs more frequently in patients with penicillin allergies

A

C. Eating Lessens the pain

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4
Q

Patient has been taking OTC Prilosec, which generic is she taking?

A

Omeprazole

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5
Q

Which of the following would best describe H. pylori when performing an endoscopy?

A. it is an invasive fungi
B. it is a protozoal organism
C. it is gram-positive cocci pairs
D. it is spiral-shaped gram-negative
E. it is oblong-shaped vial organism

A

D

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6
Q

Patient has penicillin allergy, and needs to be treated for H. pylori infection; select which would appropriate for the patient? (select all that apply)

A. Amoxicillin 1000mg BID + Clarithromycin 500mg BID + PPI BID
B. Clarithromycin 500mg BID + Metronidazole 500mg TID + PPI BID
C. Bismuth subsalicylate 300mg QID + Metronidazole 250mg QID + Tetracycline 500mg QID + PPI BID
D. Amoxicillin 1000mg BID + Clarithromycin 500mg BID + Metronidazole 500mg BID + PPI BID

A

B or C are correct

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7
Q

When treating a patient for H. pylori infection, which is the appropriate duration of therapy?

A. 5 days
B. 7 days
C. 14 days
D. 28 days

A

C

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8
Q

T or F: PPIs must be taken consistently as they are not effective when taken as needed, and take before meals

A

True

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9
Q

Patient is taking Pepcid Complete 1-2 tablets daily, what is the patient taking?

A

Famotidine + Calcium Carbonate + Magnesium Hydroxide

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10
Q

PPI is recommended for treatment of GERD, the duration of therapy is ____ and should be re-evaluated after the ____ weeks

A

8 weeks

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11
Q

Atelvia requires acidic gut, meaning chronic acid-suppressing drugs will react with this medication. What is the generic of Atelvia?

A

risedronate (DR)

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12
Q

T or F: Calcium carbonate has lower absorption at higher gastric pH than calcium citrate

A

True

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13
Q

All of the following requires acidic gut for absorption except:

A. NSAIDs
B. Iron
C. Azoles - Ketoconazole, itraconazole, posaconazole
D. Dasatanib

A

A.

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14
Q

How should you counsel a patient taking Dexilant?

A. Take one daily without regard to meals
B. Take one daily 60 minutes before breakfast
C. Take one daily at bedtime
D. Take one daily on an empty stomach

A

A.

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15
Q

Patient is taking Dexilant, what is the generic?

A

Dexlansoprazole

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16
Q

What is the brand name of Lansoprazole?

A

Prevacid

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17
Q

Patient is taking Mylanta Classic, and has renal insufficiency, depression, HF, HTN, and anemia. This medication …..

A. should not be used in patients with depression
B. contains salicylate and should be avoided in patients with aspirin allergies
C. can accumulate in patients with kidney dysfunction
D. can increase the patient’s BP

A

C

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18
Q

What components are in a Mylanta Classic?

A

aluminum, magnesium hydroxide, simethicone

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19
Q

What is the MOA of misoprostol?

A

Prostaglandin analog

20
Q

Cytotec is the brand name of

21
Q

_____ will provide benefit for both the heartburn and make the stool somewhat softer in a patient with chronic constipation

A. Milk of Magnesia
B. Maalox
C. Tums
D. Famotidine
E. Omeprazole

22
Q

Metoclopramide is most commonly used for ____

A

Gastroparesis (accelerates gastric emptying and should not be used routinely for GERD

23
Q

Metoclopramide is dosed ____

I. Before meals
II. After meals
III. at bedtime

24
Q

Which PPIs are available as IV formulation?

I. Pantoprazole
II. Esomeprazole
III. Lansoprazole
IV. Omeprazole
V. Rabeprazole

25
Use of a proton pump inhibitor during hospitalization can increase chances of developing _____ A. Pneumonia B. Stroke C. Hepatotoxicity D. Myocardial Infarction E. Anemia
A
26
VImovo is the brand of ____
Naproxen-esomeprazole
27
In patients at high risk of GI bleeding who must take an NSAID, a PPI should be given _____ A. before B. after C. concomitantly D. avoided
C
28
Which NSAID has the lowest CV risk in patients with history of cardiac disease?
Naproxen
29
Which NSAID should not be used in patients with history of CVD and/or sulfa allergy?
Celecoxib
30
T or F: Hypomagnesemia is associated with chronic use of PPI
True
31
Beers Criteria recommend that PPI should not be used longer than ____ weeks in elderly
8 weeks
32
All of the following warnings is associated with chronic use of PPI, except: A. Osteoporosis-related fractures B. C. Difficile-associated diarrhea C. Hypomagnesemia D. Folic Acid deficiency E. Vitamin B12 deficiency F. Interstitual nephritis and lupus
D
33
Doctor Prescribes Prevpac for H. pylori infection, what are the contents of Prevpac?
Lansoprazole, Amoxicillin, Clarithromycin
34
Doctor Prescribes Pylera for H. pylori infection, what are the contents of Pylera?
Bismuth subcitrate potassium + Metronidazole + tetracycline
35
Do not consume alcohol when taking _____ (which antibiotic)
Metronidazole
36
T or F: COX-2 selective NSAIDs have an increased risk of causing cardiovascular events
True
37
The main side effect of sucralfate is ____
Constipation
38
Which components of Pylera could cause tooth discoloration of the teeth and can interfere with bone development?
Tetracycline
39
All of the following are correct for Metoclopramide, except: A. can worsen Parkinson disease symptoms B. could make patients feel fatigue and sleepy C. it is a dopamine-antagonist D. it is preferred treatment for GERD
D
40
If metoclopramide is used in someone with CrCl < 60ml/min, the dose should be decreased by ___% to reduce the risk of CNS side effects or EPS
50%
41
All PPIs come in capsules that can be opened and mixed in applesauce, EXCEPT:
Pantoprazole
42
Patients should not self-treat heartburn for more than _____ as it could be GERD
2 weeks
43
Which PPis should be avoided in patients taking Clopidogrel?
Omeprazole + esomeprazole
44
Which PPI is available as an ODT?
Lansoprazole
45
T or F: Ranitidine can cause gynecomastia and impotence
False; cimetidine
46