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Pharmacology Exam 5: HEENT, Gout, Corticosteroids, PCN, Sulfa, Cephalosporins, Tetracycline, Fluoroquinolones, Aminoglycosides, Anti-HIV, Anti-Viral, Anti-parasitic, Anti-fungal, Upper GI, diarrhea, alternative medicine

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Pharmacology Exam 5

Pregunta 1 de 13

1

Pt comes in to clinic currently taking warfarin for her blood clots. She comes in with abd pain and you suspect she has an abd ulcer. What is the best treatment for this patient?

Selecciona una de las siguientes respuestas posibles:

  • Omeprazole

  • Dexlansoprazole

  • Sodium Bicarbonate

  • Dexlansoprazole

Explicación

Pregunta 2 de 13

1

Pt presents to clinic and she is currently in high school, you’ve diagnosed her with peptic ulcer disease but she is curious how Omeprazole works? You tell her …

Selecciona una de las siguientes respuestas posibles:

  • Inhibits H2 receptors on the parietal cells which decreases cAMP and thus decreases acid production

  • Irreversibly inhibits the Proton pump inhibitor on the parietal, and it only works if the pH in her abdomen is acidic (does not work if pH is neutral), and that she has a risk of being B12 deficient

  • It works well with stress ulcers and binds the H2 receptor that is activated by Gastrin

Explicación

Pregunta 3 de 13

1

Pt comes in after a car accident and loosing blood and going into shock. He needs something to treat his gastric ulcers. What is his best line of treatment?

Selecciona una de las siguientes respuestas posibles:

  • PPI

  • Sucralfate

  • H2 antagonist

  • Misoprostol

Explicación

Pregunta 4 de 13

1

Pt presents to clinic and he has just been informed that he needs a heart transplant. His transplant is tomorrow at 2pm, what drug would be most useful to take prior to surgery to prevent aspiration pneumonitis?

Selecciona una de las siguientes respuestas posibles:

  • Ranitidine

  • Rabeprazole

  • Ondansetron

  • Diazepam

Explicación

Pregunta 5 de 13

1

In treating a patient for H. Pylor which is the best drug therapy?

Selecciona una de las siguientes respuestas posibles:

  • PPI, Tetracycline, and Amoxicillin

  • PPI, Clarithromycin, and Amoxicillin

  • PPI, Metronidazole, and Tetracycline

  • PPI, Clarithromycin, Amoxicillin

Explicación

Pregunta 6 de 13

1

If you suspect a patient has H. Pylori what tests will confirm his diagnosis? And how long should you wait before retesting?

Selecciona una de las siguientes respuestas posibles:

  • Serology, up to 4 weeks

  • PFT, up to 1 week

  • Stool sample, up to 4 weeks

  • Urine, up to 1 week

Explicación

Pregunta 7 de 13

1

Pt comes into clinic taking several drugs that require CYP450 metabolism. She needs something for her gastric ulcers. What is the best line of treatment?

Selecciona una de las siguientes respuestas posibles:

  • Cimetidine

  • Famitidine

  • Omeprazole

  • Diazepam

Explicación

Pregunta 8 de 13

1

Pt has been taking aluminum hydroxide and magnesium hydroxide, she decides that she is feeling better and stops taking these meds? What would you suspect upon cessation?

Selecciona una de las siguientes respuestas posibles:

  • She will feel nothing since she feels better

  • She will have heart burn and dyspepsia

  • She will feel tired and weak

  • She will feel more energized

Explicación

Pregunta 9 de 13

1

68 year old female presents to your clinic and she has been taking NSAIDS for her arthritis for the past 3 years. You are concerned about her long term NSAID use, what will you prescribe to protect her from getting gastric or duodenal ulcers?

Selecciona una de las siguientes respuestas posibles:

  • Bismuth

  • Misoprostol

  • Sucralfate

Explicación

Pregunta 10 de 13

1

Susie is getting ready for her endoscopy because of her acute GI hemorrhage. You need to give her a drug that will promote gastric emptying. What is the best treatment of choice?

Selecciona una de las siguientes respuestas posibles:

  • Ondansteron

  • Dimenhydrinate

  • Misoprostol

  • Erythromycin

Explicación

Pregunta 11 de 13

1

Your patient comes in with severe nausea and vomiting, he states, " I can't take this anymore". What is the most effective drug used to treat his symptoms?

Selecciona una de las siguientes respuestas posibles:

  • Ondansetron

  • Scopolamine

  • Lorazepam

  • Dronabinol

Explicación

Pregunta 12 de 13

1

Nina was told she has breast cancer 4 days ago. Her doctors say it is metastatic and she needs immediate chemotherapy. What is the class of the drug that will protect her from chemo-induced nausea and vomiting?

Selecciona una de las siguientes respuestas posibles:

  • 5HT3

  • N1K receptor analog

  • H2 antagonist

  • D2 Antagonist

Explicación

Pregunta 13 de 13

1

Dave is going on a cruise next week and he knows he has the propensity to get sea sick. What can you give him to prevent him from getting sea sick?

Selecciona una de las siguientes respuestas posibles:

  • Metoclopramide

  • Ondansetron

  • Promethazine

  • Scopolamine

Explicación

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