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AG-ACNP – GI: Questions With Complete Solutions
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AG-ACNP – GI: Questions With Complete Solutions
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AG-ACNP – GI: Questions With Complete SolutionsWhat bacteria is associated with >90% duodenal ulcers and >75% gastric
ulcers? Right Ans - H. pylori
Which medications cause peptic ulcer disease? Right Ans - NSAIDS
ASA
Glucocorticoids
At what age do duodenal ulcers typically present? Right Ans - 30-55 yo.
At what age do gastric ulcers typically present? Right Ans - 55-65 years old
What are the signs and symptoms associated with a duodenal ulcer? Right
Ans - Gnawing, epigastric pain
Relief of pain WITH eating
What are the signs and symptoms associated with a gastric ulcer? Right
Ans - Gnawing, epigastric pain
Pain WORSENS with eating
What are the expected physical findings associated with PUD? Right Ans -
Physical exam unremarkable
GI bleeding - melena, hematemesis or coffee-ground emesis (duodenum)
In a patient presenting with coffee-ground emesis, where does the ACNP
suspect the ulcer is located? Right Ans - In the duodenum
What are the signs and symptoms of a perforated peptic ulcer? Right Ans -
Severe epigastric pain
BOARD LIKE abdomen
QUIET BOWEL SOUNDS
Acute abdomen
What is the first-line treatment in PUD? Right Ans - H2 Blocker - Ranitidine
(Zantac) 300 mg/hr at SLEEP
Famotidine (Pepcid) 40 mg/hrs at SLEEP
, When should you educate patients on administration of a Proton Pump
Inhibitor? Right Ans - Patient should take PPI 30 minutes before meals
What is the BBW associated with PPIs? Right Ans - HIP FRACTURE
What is the dosing for PPIs in PUD? Right Ans - Pantoprazole (Protonix) 40
mg/day
Omeprazole (Prilosec) 20 mg/day
What patient education is needed when prescribing Mucosal Protective
Agents? Right Ans - Sucralfate (Carafate) 1 gm PO QID
Requires acidic environment - avoid ANTACIDS and H2 Blockers
What medication used in treatment of PUD is also associated with decreases
in nosocomial PNA? Right Ans - sucralfate (Carafate) - mucosal protective
agent
What medication indicated in the management of PUD has antimicrobial
action against H.Pylori? Right Ans - bismuth subsalicylate (Pepto-Bismol)
Which medication is used as ppx against NSAID-induced peptic ulcers?
Right Ans - misoprostol (Cytotec)
What are examples of antacids? Right Ans - Mylanta
Maalox
Milk of Magnesia
What medications are used in combination therapy MOC indicated for H.Pylori
treatment? Right Ans - Metrondiazole (Flagyl)
omeprazole (Prilosec)
clarithryomycin (Biaxin)
BID x 7 days
What medications are used in combination therapy AOC for H. Pylori?
Right Ans - Amoxicillin
omeprazole (Prilosec)
clarithromycin (Biaxin)
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