Type of cells lining surfaces of the body including the GI tract - Answer-epithelial cells
GI disorder of excessive acid production and/or backflow of acidity stomach contents into esophagus - Answer-Gastroesophageal reflux disease (GERD)
Process of food or other substance traveling through G...
Exam 5 – GI Questions with Correct
Answers
Type of cells lining surfaces of the body including the GI tract - Answer-epithelial cells
GI disorder of excessive acid production and/or backflow of acidity stomach contents
into esophagus - Answer-Gastroesophageal reflux disease (GERD)
Process of food or other substance traveling through GI tract via peristalsis, or series of
muscle contractions - Answer-Gastric motility
Partial paralysis of the stomach or GI tract preventing contractions, causing gastric
emptying - Answer-Gastroparesis
An open sore on the inside lining of the stomach or upper portion of small intestine -
Answer-Peptic ulcer
Nausea, vomiting, or retching occurring within 24 hours of a surgical procedure -
Answer-Post-operative nausea/vomiting
Group of physiologic lipids that serve a variety of functions in the body including
inflammation and inhibition of gastric acid secretion - Answer-Prostaglandin
An ulcer formed in the upper GI tract (esophagus, stomach, duodenum) during
hospitalization - Answer-Stress Ulcer
During a routine yearly exam for a MN, a 32 yo WM, MN mentions occasion episodes of
heartburn. He denies any alarm symptoms and believes the heartburn is from eating
pizza and wings watching football games but does not always happen. Which of the
following treatments is most appropriate for his occasional symptoms?
A. Calcium carbonate 500-1000mg po prn symptoms
B. Rabeprazole 20mg po QD x 6 weeks
C. Triple therapy with amoxicillin + clindamycin + omeprazole
D. Cimetidine 800mg po TID in anticipation of symptoms - Answer-A
NN is a 66 yo WM who has just completed high dose PPI treatment for healing of his
NSAID-induced ulcer from ibuprofen 800mg po TID. He has failed treatment with
acetaminophen and is willing to retry using an NSAID. Which of the following
precautions would be best to prevent recurrence of ulcers? He is worried about the cost
of new medications to his regimen.
A. Switching his NSAID to naproxen 500mg po BID due to lower overall dosing
B. Change his NSAID to celecoxib and add famotidine 40mg po BID
,C. Change his medication to the combination naproxen/esomeprazole 375/20 1 po TID
D. Add metoclopromide 20mg po QD to his current NSAID regimen - Answer-B
PI is a 57yo CM with a BMI calculated to be 29 kg/m2 with diabetes, sleep apnea, and
hypertesion with medication including metformin and lisinopril. He has failed previous
attempts at diet and exercise including keto and Atkins. He is willing to pay out of pocket
at any cost if his insurance does not cover the therapy. What pharmacotherapy option
would be the most appropriate option for PI?
A. Lorcaserin (Belviq) 10mg po QD for up to 12 weeks
B. Phentermine 37.5mg po QD for up to 24 weeks
C. Topiramate 100mg po titrated up to 100mg po BID
D. Orlistat (Xenical) 120mg po TID before meals - Answer-D
There are many options for non-pharmacological treatment of GERD. Which of the
following is used as non-pharmacological treatment for GERD?
A. Elevate the head of the bed when sleeping with pillows
B. Avoid spicy or high fat foods
C. Reduce frequency of meals and eat larger meals
D. Avoid eating 2-3 hours after awakening in the morning - Answer-B
Proton Pump Inhibitors are one of the strongest options for acid suppression. Which of
the following is an example of a proton pump inhibitor?
A. Lansoprazole
B. Famotidine
C. Sucralfate
D. Bismuth Subsalicylate - Answer-A
All end in -prazole
Which triplets of medication correctly pairs triple therapy for H pylori infections?
A. Ranitidine + clindamycin + metronidazole
B. Tetracycline + Cephalexin + Bismuth Subsalicylate
C. Clarithromycin + Amoxicillin + Omeprazole
D. Erythromycin + Penicillin + Lansoprazole - Answer-C
CLAP
Which of the following options would NOT be effective against the treatment of clostrium
difficile infections (assume given in proper combinations if applicable)?
A. Metronidazole
B. Vancomycin IV
, C. Vancomycin oral
D. Fidaxomicin - Answer-B
Nausea and vomiting can be managed with antiemetics or prokinetics. Which of the
following is a prokinetic?
A. Ondansetron
B. Meclizine
C. Metoclopramide
D. Diphenhydramine - Answer-C
Vestibular causes of nausea, such as repetitive movements (motion sickness) are best
managed by which class of medication?
A. Antihistamines
B. CorticosterPoids
C. Prokinetics
D. 5HT3 antagonists - Answer-A
Which medication below is approved for the treatment of obesity by causing weight loss
via changes to fat digestion?
A. Topiramate
B. Liraglutide
C. Orlistat
D. Bupropion - Answer-C
What causes the sx or complications of GERD? - Answer-Symptoms or complications
resulting from the reflux of gastric contents into the esophagus or beyond, into the oral
cavity (including larynx) or lung
Impairs quality of life & detreimental to health
GERD is a multifactorial pathogenesis including: - Answer-Transient LES relaxation &
pressure (meds, foods, etc)
Hiatal hernia
Impaired esophageal clearance
Delayed gastric emptying
Univeral treatment goals for GERD - Answer-Eliminate symptoms
Heal esophagitis
Prevent the relapse of esophagitis or development of complications
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