Gi Disorders

Question 1

which is the most prevalent GI disease in the US population?

Answer 1

GERD

Question 2

what is a serious possible consequence of GERD?

Answer 2

barrett esophagus

Question 3

what is the primary concern for a patient diagnosed with barrett esophagus?

Answer 3

esophageal cancer

Question 4

what is the condition where the stomach contents flow backward through the cardiac sphincter and up into the esophagus?

Answer 4

GERD

Question 5

what should the dental professional do for patients with symptoms of taste changes and enamel erosion?

Answer 5

refer to PCP

Question 6

What can happen if patients are positioned in the supine position for a length of time, esp if they ate a large meal prior to their dental appointment

Answer 6

may experience symptoms of GERD, which can be mistaken for an emergency situation

Question 7

What is the best non-narcotic analgesic for the management of a dental patient with peptic ulcer disease or GERD?

Answer 7

acetaminophen

Question 8

what are the dental considerations for the patient with gerd?

Answer 8

may not be able to sit in supine poition

Question 9

what has been determined to be the cause of most ulcers?

Answer 9

Helicobacter pylori (not stress)

Question 10

how can ulcers be cured?

Answer 10

using a combination of one or more antibiotics and an H2- blocker or a proton-pump inhibitor (PPI) to reduce the stomach acid

Question 11

what drug is a synthetic prostaglandin indicated for NSAID- induced ulcers?

Answer 11

Misoprostol

Question 12

How do NSAIDs work to help GI disorders?

Answer 12

inhibit PG synthesis, and PGs have a protective effect on the stomach lining

Question 12

How do NSAIDs work to help GI disorders?

Answer 12

inhibit PG synthesis, and PGs have a protective effect on the stomach lining

Question 13

how does misoprostol work to help GI disorders?

Answer 13

is a PGE2A and can replenish the PG in the stomach

Question 14

what are two possible causes for stomach or small intestine ulcers?

Answer 14

an infection and long-term use of NSAIDs

Question 15

what are two possible causes for stomach or small intestine ulcers?

Answer 15

an infection and long-term use of NSAIDs

Question 16

what commonly used drug is NOT the best treatment for peptic ulcers?

Answer 16

antacids

Question 17

how are acute gastritis and symptoms of ulcers sometimes managed?

Answer 17

antacids

Question 18

what is the possible treatment for ulcers?

Answer 18

Pepto Bismol

Question 19

what property do ulcers have to allow them to be treated with antibiotics?

Answer 19

ulcers are closely related to helicobacter pylori and are treated with antibiotics

Question 20

what is Famotidine (Pepcid) and what are some adverse effects?

Answer 20

histamine-2 (H2)- blocking agent has been associated with dry mouth and taste alterations

Question 21

which adverse reaction is common to all of the currently marketed H2 blocking agents?

Answer 21

abnormal liver function tests

Question 22

what agent should be used with caution in patients with renal Impairment because hypermagnesemia has been reported in patients with renal disease

Answer 22

magnesium sulfate

Question 23

what drug is a prostaglandin PGE2A and is indicated for NSAID- induced ulcers?

Answer 23

Misoprostol (Cytotec)

Question 24

What drug inhibits the action of pepsin and absorbs the bile salts and can be thought of as a "bandage" for ulcers?

Answer 24

Sucralfate (Carafate)

Question 25

why are lubricants such as mineral oil no longer recommended?

Answer 25

can be absorbed and interfere with absorption of fat-soluble vitamins (A, D, E, and K)

Question 26

what is a caution to be aware of with certain GI drugs such as laxitives?

Answer 26

abused by patients with bulimia

Question 27

which type of laxative is considered best to use?

Answer 27

bulk laxatives

Question 28

which category of drugs are used to treat diarrhea?

Answer 28

absorbents and opioid-like agents

Question 29

which type of drugs work by blocking 5-HT3 receptors in the CNS and the chemoreceptor trigger zone?

Answer 29

antimetics

Question 30

the action of what drug is to decrease peristalsis by acting directly on smooth muscle of the GI?

Answer 30

METOCLOPRAMIDE

Question 31

What is the difference between Chron's disease and ulcerative colitis?

Answer 31

Chrons disease extends through all layers of the intestinal wall, whereas ulcerative colitis involves only the mucosa

Question 32

what organs are affected by Chron's disease?

Answer 32

can involve whole intestine, but the colon is mostly affected

Question 33

what organs are affected by Chron's disease?

Answer 33

can involve whole intestine, but the colon is mostly affected

Question 34

which type of drug is considered fist-line therapy for treatment of irritable bowel syndrome?

Answer 34

antiinflammatory