GI2 PDF

Preview

Summary

GI quiz...

Description

Pharm Chapter 34-gi Study online at quizlet.com/_2p5iau 1.

Gastroesophageal reflux disease may be aggravated by the following medication that affects lower esophageal sphincter (LES) tone:

Estrogen

13.

If a patient with H. pyloripositive peptic ulcer disease fails first-line therapy, the second-line treatment is:

Proton pump inhibitor bid plus metronidazole plus tetracycline plus bismuth subsalicylate for 14 days

2.

Lifestyle changes are the first step in treatment of gastroesophageal reflux disease (GERD). Food or drink that may aggravate GERD include:

Caffeine

14.

After H. pylori treatment is completed, the next step in peptic ulcer disease therapy is:

A proton pump inhibitor for 8 to 12 weeks until healing is complete

3.

Metoclopramide improves gastroesophageal reflux disease symptoms by:

Increasing lower esophageal tone

4.

Antacids treat gastroesophageal reflux disease by:

Increasing gastric pH

5.

When treating patients using the "StepDown" approach the patient with gastroesophageal reflux disease is started on _______ first.

Proton pump inhibitors

6.

If a patient with symptoms of gastroesophageal reflux disease states that he has been self-treating at home with OTC (ranitidine) Histamine2 receptor antagonist daily, the appropriate treatment would be:

Proton pump inhibitor (omeprazole) for 12 weeks

7.

If a patient with gastroesophageal reflux disease who is taking a proton pump inhibitor daily is not improving, the plan of care would be:

Use PPI TID for 4-8 weeks

8.

The next step in treatment when a patient has been on proton pump inhibitors twice daily for 12 weeks and not improving is:

Referral for endoscopy

9.

Infants with reflux are initially treated with:

Anti-reflux maneuvers (elevate head of bed)

10.

Long-term use of proton pump inhibitors may lead to:

Hip fractures in at-risk persons

11.

An acceptable first-line treatment for peptic ulcer disease with positive H. pylori test is:

Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days

12.

Treatment failure in patients with peptic ulcer disease associated with H. pylori may be because of:

Antimicrobial resistance...