Question 1

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

Accepted Answer

Two antibiotics are used to treat the tough bacteria H. pylori, which is causing the ulcer, while the PPI is used to reduce the production of hydrochloric acid, allowing the ulcer to heal.

Question 2

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.

Accepted Answer

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

Question 3

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.

Accepted Answer

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 
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 A,B,C,D

Question 4

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.

Accepted Answer

A) True 
 B)False

Question 5

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.

Accepted Answer

A) True 
 B)False

Question 6

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.

Accepted Answer

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. 
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 7

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

Accepted Answer

A) True 
 B)False

Question 8

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.

Accepted Answer

The technician can talk to the

Question 9

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

Accepted Answer

A) True 
 B)False

Question 10

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

Accepted Answer

A) True 
 B)False

Question 11

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

Accepted Answer

A) True 
 B)False

Question 12

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.

Accepted Answer

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

Question 13

Lack of sufficient pancreatic juice can cause malabsorption syndromes.

Accepted Answer

A) True 
 B)False

Question 14

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.

Accepted Answer

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

Question 15

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

Accepted Answer

A) True 
 B)False

Question 16

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

Accepted Answer

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

Question 17

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

Accepted Answer

A) True 
 B)False

Question 18

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

Accepted Answer

Elevate the head of the bed; d

Question 19

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

Accepted Answer

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." 
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 20

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

Accepted Answer

A) True 
 B)False

Exam 29: Drugs for Gastrointestinal Disorders

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

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.

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.

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.

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.

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.

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

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.

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

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

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

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.

Lack of sufficient pancreatic juice can cause malabsorption syndromes.

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.

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

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

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

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

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

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

The Practice of Pharmacy

Drug Classification, Regulation, and Approval

Drug Forms and Routes of Drug Administration

Pharmacokinetics

Pharmacodynamics

Substance Abuse

Using Drug References

Drugs for Disorders Associated With the Autonomic Nervous System

Drugs for Anxiety, Daytime Sedation, and Insomnia

Drugs for Emotional, Behavioural, and Mood Disorders

Drugs for Psychoses and Degenerative Diseases

Drugs for Seizures

Drugs for the Control of Pain and Fever

Drugs for Local and General Anaesthesia

Drugs for Coagulation Disorders

Drugs for Hypertension

Drugs for Heart Failure

Drugs for Dysrhythmias

Drugs for Chest Pain, Myocardial Infraction, and Stroke

Drugs for Lipid Disorders

Drugs for Shock and Anaphylaxis

Drugs for Kidney, Acid-Base, and Electrolyte Disorders

Drugs for Bacterial Infections

Drugs for Fungal, Viral, and Parasitic Diseases

Drugs for Neoplasia

Drugs for Respiratory Disorders

Drugs for Immune System Modulation

Drugs for Eye and Ear Disorders

Vitamins, Minerals, and Nutritional Supplments

Drugs for Muscle Spasm and Bone Disorder

Drugs for Skin Disorders

Drugs for Endocrine Disorders

Drugs for Disorders and Conditions of the Reproductive System

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