Pharmacology and
Pharmacotherapeutics
QUESTIONS WITH CORRECT
ANSWERS [LATEST] GRADED
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Many patients self-medicate with antacids. Which patients should be counseled to not take
calcium carbonate antacids without discussing it with their provider or a pharmacist first? -
CORRECT ANSWER-Patients with kidney stones
Patients taking antacids should be educated regarding these drugs, including letting them know
that: - CORRECT ANSWER-may cause constipation or diarrhea, high in sodium, separate antacids
from other meds by 1 hour
Kelly has diarrhea and is wondering if she can take loperamide (Imodium) for the diarrhea.
Loperamide: - CORRECT ANSWER-slows gastric motility and reduces fluid and electrolyte loss
form diarrhea
Bismuth subsalicylate (Pepto Bismol) is a common OTC remedy for gastrointestinal complaints.
Bismuth subsalicylate: - CORRECT ANSWER-May lead to toxicity if taken with aspirin & Is
contraindicated in children with flu-like illness & Has antimicrobial effects against bacterial and
viral enteropathogens
, Hannah will be traveling to Mexico with her church group over spring break to build houses. She
is concerned she may develop traveler's diarrhea. Advice includes following normal food and
water precautions as well as taking: - CORRECT ANSWER-Bismuth subsalicylate with each meal
and at bedtime
Jim presents with complaints of "heartburn" that is minimally relieved with
Tums (calcium carbonate) and is diagnosed with gastroesophageal reflux disease (GERD). An
appropriate first-step therapy would be: - CORRECT ANSWER-Ranitidine (Zantac) twice a day
Patients who are on chronic long-term proton pump inhibitor therapy require monitoring for: -
CORRECT ANSWER-Iron deficiency anemia, vitamin B12 and calcium deficiency
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: - CORRECT ANSWER-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: - CORRECT ANSWER-Bisacodyl (Dulcolax)
suppository
Methylnaltrexone is used to treat constipation in: - CORRECT ANSWER-Opioid-associated
constipation
An elderly person has been prescribed lactulose for treatment of chronic constipation.
Monitoring with long-term treatment would include: - CORRECT ANSWER-Electrolytes,
including potassium and chloride
Treatment of IBS - CORRECT ANSWER-Anticholinergic agents (Dicyclomine and hyoscyamine) &
antidepressants (tricyclic antidepressants, SSRI)