Questions AND VERIFIED
CORRECT ANSWERS LATEST
2026-2027 GRADED A+
Sadie is a 72-year-old patient who takes omeprazole for her chronic GERD. Chronic long-term
omeprazole use places her at increased risk for:
1. Megaloblastic anemia
2. Osteoporosis
3. Hypertension
4. Strokes - CORRECT ANSWER-1. Megaloblastic anemia
Patrick is a 10-year-old patient who presents with uncomfortable constipation. Along with diet
changes, a laxative is ordered to provide more rapid relief of constipation. An appropriate
choice of medication for a 10- year-old child would be:
1. PEG 3350 (Miralax)
2. Bisacodyl (Dulcolax) suppository
3. Docusate (Colace) suppository
4. Polyethylene glycol electrolyte solution - CORRECT ANSWER-2. Bisacodyl (Dulcolax)
suppository
,Methylnaltrexone is used to treat constipation in:
1. Patients with functional constipation
2. Patients with irritable bowel syndrome-associated constipation
3. Children with encopresis
4. Opioid-associated constipation - CORRECT ANSWER-4. Opioid-associated constipation
An elderly person has been prescribed lactulose for treatment of chronic constipation.
Monitoring with long-term treatment would include:
1. Electrolytes, including potassium and chloride
2. Bone mineral density for osteoporosis
3. Magnesium level
4. Liver function - CORRECT ANSWER-1. Electrolytes, including potassium and chloride
Gastroesophageal reflux disease may be aggravated by the following medication that affects
lower esophageal sphincter (LES) tone:
1. Calcium carbonate
2. Estrogen
3. Furosemide
4. Metoclopramide - CORRECT ANSWER-2. Estrogen
Lifestyle changes are the first step in the treatment of gastroesophageal reflux disease (GERD).
Food or drink that may aggravate GERD include:
, 1. Eggs
2. Caffeine
3. Chocolate
4. Soda pop - CORRECT ANSWER-2. Caffeine
Metoclopramide improves gastroesophageal reflux disease symptoms by:
1. Reducing acid secretion
2. Increasing gastric pH
3. Increasing lower esophageal tone
4. Decreasing lower esophageal tone - CORRECT ANSWER-3. Increasing lower esophageal tone
Antacids treat gastroesophageal reflux disease by:
1- Increasing lower esophageal tone
2- Increasing gastric pH
3- Inhibiting gastric acid secretion
4- Increasing serum calcium level - CORRECT ANSWER-2- Increasing gastric pH
When treating patients using the "Step-Down" approach, the patient with gastroesophageal
reflux disease is started on first.
1. Antacids
2. Histamine2 receptor antagonists
3. Prokinetics
4. Proton pump inhibitors - CORRECT ANSWER-4. Proton pump inhibitors