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30 Cards in this Set
- Front
- Back
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Which of the following is not a symptom of gastroesophageal reflux disease (GERD)?
a. Pyrosis b. Belching c. persalivation d. regurgitation e. all are symptoms of GERD |
e. all are symptoms of GERD
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Which of the following is LEAST likely to exacerbate GERD?
a. Peppermint b. Chocolate c. Coffee, cola, tea (caffeine) d. Bread |
d. Bread
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Which of the following medications can exacerbate GERD?
a. Anticholinergics b. Narcotics c. Calcium channel blockers d. Beta blockers e. All of the above |
e. All of the above
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Which of the following nonpharmacologic therapies would be LEAST beneficial for the patient with GERD?
a. Elevate head of bed b. Reduce dietary fat c. Eat larger meals d. Stop smoking e. Avoid eating near bedtime |
c. Eat larger meals
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Which of the following non-pharmacologic therapies should be recommended for patients with peptic ulcer disease (PUD)?
a. Alcohol/ smoking cessation b. Avoid trigger foods c. Eat smaller, more frequent meals d. All of the above are non-pharmacologic options |
d. All of the above are non-pharmacologic options
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Which of the following is the most appropriate regimen for treating H. pylori induced PUD?
a. 2 antibiotics + proton pump inhibitor b. A pro-kinetic agent such as metoclorpramide c. Over the counter antacid monotherapy d. Nonpharmacologic therapy only |
a. 2 antibiotics + proton pump inhibitor
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A mother brings her 5 month old child in to your pharmacy stating he has had diarrhea for 2 days, a fever, and appears dehydrated. What is your recommendation?
a. Arrange for urgent care immediately b. Give pedialyte (replacement fluids) and monitor him for 1 more day c. Give him Imodium (an anti-diarrheal agent) for kids d. B and C |
a. Arrange for urgent care immediately
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Which of the following strategies is most likely to prevent constipation?
a. Maintenance of a low fiber diet b. Minimal physical activity c. Consumption of plenty of fluids d. All of the above are legitimate strategies for preventing constipation |
c. Consumption of plenty of fluids
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Which of following is most appropriate for treatment of gastroesophageal reflux disease (GERD)?
a. an anticholinergic agent b. a calcium channel blocker c. proton pump inhibitor d. benzodiazepine |
c. proton pump inhibitor
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Which of the following is considered to be an atypical symptom of GERD?
a. Pyrosis b. Dysphagia c. Chronic cough d. Regurgitation |
c. Chronic cough
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Which of the following non-pharmacologic treatments is LEAST LIKELY to reduce the symptoms of GERD?
a. Smoking cessation b. Avoid trigger foods c. Avoidance of late meals d. Elevate head with a few extra pillows |
d. Elevate head with a few extra pillows
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Which of the following drug classes contain agents available ONLY by prescription for the treatment of GERD?
a. H2 receptor antagonists b. Pro-kinetic agents c. Proton pump inhibitors d. Antacids |
b. Pro-kinetic agents
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Which of the following antacids is most likely to cause diarrhea?
a. Magnesium only products b. Calcium only products c. Aluminum only products d. Zinc only products |
a. Magnesium only products
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Which of the following statements is/are true?
a. Food often relieves the pain associated with duodenal ulcers b. Gastric ulcers tend to cause a burning or gnawing pain c. Duodenal ulcers tend to be associated with episodic symptoms d. All of the above are true |
d. All of the above are true
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Which of the following class of drugs is most appropriately used for symptomatic
treatment of diarrhea? a. Antacids b. Pro-kinetic agents c. Antimotility agents d. H2 receptor antagonists |
c. Antimotility agents
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Chronic abuse of stimulant laxatives may lead to which of the following?
a. Laxative dependence b. Electrolyte abnormalities c. Peptic ulcer disease d. a and b only |
d. a and b only
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Which of the following would be the most inappropriate antidiarrheal product to recommend to a patient with an apparent infectious diarrhea?
a. bacteria replacement (lactobacillus or Lactinex) b. antisecretory therapy (bismuth subsalicylate or Pepto Bismol) c. adsorbent therapy (attapulgite or Donnagel) d. antimotility therapy (loperamide or Immodium-AD) |
d. antimotility therapy (loperamide or Immodium-AD)
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Which of the the following would most likely exacerbate gastroesophageal reflux disease?
a. small meals b. weight loss c. smoking/tobacco use cessation d. dinner just before bedtime |
d. dinner just before bedtime
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Which of the following would most likely exacerbate gastroesophageal reflex disease?
a. small meals b. weight loss c. smoking/tobacco use cessation d. dinner just before bedtime |
d. dinner just before bedtime
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Which of the following is the primary adverse effect caused by OTC antacid products containing aluminum hydroxide?
a. diarrhea b. flatulence c. constipation d. gastrointestinal irriation |
c. constipation
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The organism most often found in non-NSAID induced ulcers is which of the following?
a. Helicobacter corrodens b. Campylobacter jejuni c. Haemophilus ducreyi d. Helicobacter pylori |
d. Helicobacter pylori
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Which of the following best describes atypical gastroesophageal reflux disease?
a. pyrosis, water brash b. asthma, cough c. belching, regurgitation d. water brash, horseness |
b. asthma, cough
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Which of the following would be most useful for relief or prevention of constipation?
a. reduced intake of dietary fiber b. reduced intake of fresh fruit and vegetables c. exercise d. use of an antimotility agent (Immodium or Loperamide) |
c. exercise
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CJ is a 40 year-old female who has been suffering from frequent, loose watery stools for 2 days. CJ’s diarrhea would be best categorized currently as:
a.persistent diarrhea b.acute diarrhea c.chronic diarrhea d.short-term diarrhea |
b.acute diarrhea
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CJ is a 40 year-old female who has been suffering from frequent, loose watery stools for 2 days. Based on type, what is the most likely cause of CJ’s diarrhea?
a.Infectious source (i.e., virus, bacteria) b.Laxatives c.NSAIDs (i.e., ibuprofen) d.Inflammatory bowel disease |
a.Infectious source (i.e., virus, bacteria)
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1.All of the following are alarm symptoms associated with gastroesophageal reflux disease (GERD) EXCEPT:
a.Unexplained weight loss b.Heartburn c.Jaundice d.Recurrent vomiting |
b.Heartburn
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Pharmacologic options for the treatment of GERD include all of the following EXCEPT:
a.NSAIDs (i.e. ibuprofen) b.Antacids (i.e. Tums®) c.H2 blockers (i.e. ranitidine) d.Proton pump inhibitors (i.e. omeprazole) |
a.NSAIDs (i.e. ibuprofen)
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Which of the following is most consistent with treatment goals of GERD?
a.Enable patients to eat spicy foods b.Prevent healing of esophageal mucosa c.Control frequency of reflux d.Eradicate H. pylori bacteria |
c.Control frequency of reflux
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All of the following are important causes of peptic ulcer disease (PUD) EXCEPT:
a.Stress-related mucosal damage b.NSAID use c.Spicy foods d.H. pylori infection |
c.Spicy foods
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Which of the following best describes appropriate pharmacologic therapy of a patient with H. pylori - positive PUD?
a.Antacids alone b.Proton pump inhibitor + antibiotics c.H2 blockers alone d.Nothing. The disease usually heals itself. |
b.Proton pump inhibitor + antibiotics
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