Deck 29: Drugs for Gastrointestinal Disorders

Question 1

The accessory organs of digestion include (Select all that apply):
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) the liver,
B) the gallbladder,
C) the stomach
D) the pancreas

Answer 1

the liver,
the gallbladder,
the pancreas

Question 2

What symptoms differentiate a duodenal ulcer from a gastric ulcer?

A) Nausea and vomiting
B) Anorexia
C) Postprandial pain
D) Nighttime pain

Answer 2

Postprandial pain

Question 3

An ulcer caused by H. pylori can be successfully treated with which classification of drugs? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Antacids
B) Proton pump inhibitors
C) H2-receptor blockers
D) Antibiotics

Answer 3

Proton pump inhibitors
Antibiotics

Question 4

A patient was placed on ranitidine 2 days ago, and continues to complain of ulcer pain. What is the best response by the pharmacist?

A) "We'll switch you to a different medication."
B) "You probably have something else besides an ulcer."
C) "You might not notice relief for several days."
D) "You should be taking the medication with food."

Question 5

What are the treatment goals for pharmacotherapy of PUD? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) To provide immediate relief from symptoms
B) To promote healing of the ulcer
C) To increase appetite
D) To prevent recurrence of the disease.

Question 6

Which of the following are conditions that may require the use of a laxative? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Chronic infrequent and painful bowel movements accompanied by severe straining
B) Following surgical procedures to prevent the patient from straining or bearing down when attempting a bowel movement.
C) To cleanse the bowel prior to surgery or for diagnostic procedures of the colon, such as a colonoscopy or barium enema.
D) When suffering from a bowel obstruction

Question 7

Some common causes of diarrhea would include (select all that apply):
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Infections of the bowel
B) Inflammatory bowel disorders such as Crohn's disease or ulcerative colitis
C) Lactose intolerance
D) Superinfections occurring during or after anti-infective treatment

Question 8

Nausea and vomiting are commonly associated with a wide variety of conditions such as (select all that apply):
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) early pregnancy
B) migraines
C) trauma to the head or abdominal organs
D) middle ear disorders

Question 9

Sibutramine should be used with caution for patients with what disorder?

A) Stable atrial fibrillation
B) Diabetes mellitus
C) Asthma
D) Hypotension

Question 10

Symptoms of chronic pancreatitis include (select all that apply):
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) lower abdominal pain,
B) loss of appetite
C) nausea and vomiting
D) weight gain

Question 11

Which side effects would the pharmacist expect a patient taking a PPI to report? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Ataxia
B) Epistaxis
C) Headache
D) Diarrhea
E) Hyperglycemia

Question 12

The alimentary canal, or GI tract, is a long, continuous, hollow tube that extends from the mouth to the duodenum.

Question 13

The chief cells that line the surface of the stomach secrete a thick mucus layer and bicarbonate to protect the stomach from hydrochloric acid.

Question 14

PUD and GERD are commonly treated with antiemetics and laxatives.

Question 15

The most common therapy for the management of PUD is a combination of a PPI plus two antibiotics; this is referred to as double therapy.

Question 16

If the waste material remains in the colon for an extended period, too little water will be reabsorbed, leading to constipation.

Question 17

Stool softeners cause more water and fat to be absorbed into the stools and are used most often used to prevent constipation.

Question 18

Prolonged or severe diarrhea, especially in children, can result in significant loss of body fluids and electrolytes so medications may be indicated.

Question 19

For patients undergoing chemotherapy, the most effective antiemetics for serious nausea and vomiting are serotonin-receptor blockers.

Question 20

Appetite is a normal physiological response that drives people to seek nourishment while hunger is a psychological response that drives food intake based on associations and memory.

Question 21

Lack of sufficient pancreatic juice can cause malabsorption syndromes.

Question 22

If taken for prolonged periods, PPIs may interfere with calcium absorption and cause osteoporosis and fractures.

Question 23

An example of an antidiarrheal would be diphenoxylate with atropine or calcium carbonate.

Question 24

You are a pharmacy technician working in a community pharmacy. Your patient is asking about lifestyle changes for PUD. Proceed as you would in practice.

Question 25

A patient is looking for information about reducing heartburn without the use of medications. What would be your suggestions?

Question 26

Why is triple therapy used to treat ulcers caused by H. pylori?