Gi Disorders Flashcards

1
Q

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

A

GERD

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2
Q

what is a serious possible consequence of GERD?

A

barrett esophagus

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3
Q

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

A

esophageal cancer

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4
Q

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

A

GERD

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5
Q

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

A

refer to PCP

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6
Q

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

A

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

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7
Q

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

A

acetaminophen

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8
Q

what are the dental considerations for the patient with gerd?

A

may not be able to sit in supine poition

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9
Q

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

A

Helicobacter pylori (not stress)

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10
Q

how can ulcers be cured?

A

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

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11
Q

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

A

Misoprostol

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12
Q

How do NSAIDs work to help GI disorders?

A

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

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12
Q

How do NSAIDs work to help GI disorders?

A

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

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13
Q

how does misoprostol work to help GI disorders?

A

is a PGE2A and can replenish the PG in the stomach

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14
Q

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

A

an infection and long-term use of NSAIDs

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15
Q

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

A

an infection and long-term use of NSAIDs

16
Q

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

A

antacids

17
Q

how are acute gastritis and symptoms of ulcers sometimes managed?

A

antacids

18
Q

what is the possible treatment for ulcers?

A

Pepto Bismol

19
Q

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

A

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

20
Q

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

A

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

21
Q

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

A

abnormal liver function tests

22
Q

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

A

magnesium sulfate

23
Q

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

A

Misoprostol (Cytotec)

24
Q

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

A

Sucralfate (Carafate)

25
Q

why are lubricants such as mineral oil no longer recommended?

A

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

26
Q

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

A

abused by patients with bulimia

27
Q

which type of laxative is considered best to use?

A

bulk laxatives

28
Q

which category of drugs are used to treat diarrhea?

A

absorbents and opioid-like agents

29
Q

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

A

antimetics

30
Q

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

A

METOCLOPRAMIDE

31
Q

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

A

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

32
Q

what organs are affected by Chron’s disease?

A

can involve whole intestine, but the colon is mostly affected

33
Q

what organs are affected by Chron’s disease?

A

can involve whole intestine, but the colon is mostly affected

34
Q

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

A

antiinflammatory