ACTUAL COMPLETE REAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
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What test detect H. pylori - ANSWER-Urea breath test & stool
antigen test
A positive H. pylori stool antigen, breath test, or biopsy
indicates that your signs
and symptoms are likely caused by a - ANSWER-peptic
ulcer due to these
bacteria
*Major treatment to Eradicate H.Pylori by - ANSWER-triple or
quad therapy for 3-4 weeks . Combination of 2 abx (amoxicillin
+ clarithromycin or metronidazole and PPI (protonix) -
tetracyclin if pt is allergic to PCN or Clarithromycin,
metronidazole.
A patient is conformed with H.pylori, MD already has ordered
PPI +
Clarithromycin + Amoxicillin and after 14 days H.Pylori is still
present, what's next? - ANSWER-*QUADRUPLE THERAPY: PPI
+Tetracycline + Metronidazole + Pepto Bismol.
,Mild short-term constipation may be treated with -
ANSWER-SALINE
LAXATIVE (i.e. aka osmotic agents: bring water
into intestines )
LACTULOSE, SORBITOL, Golytly) or BULK LAXITIVE
(Methylcellulose,
psyllium can take 3- 4/day but ensure adequate fluid
intake!) as needed.
SALINE LAXATIVE we should be careful with patient with -
ANSWER-Renal
failure
SALINE LAXATIVE use for - ANSWER-constipation
SALINE LAXATIVE aka osmotic agents effect - ANSWER-
bring water into
intestines
Causes that contribute to constipation. - ANSWER-Calcium
Channel Blocker,
IRON, antihistamines,
antipsychotics
*If constipation associated with GI bleed - ANSWER-look for
colon cancer
what laxative to recommend - ANSWER-saline laxatives
, Never use laxative - ANSWER-long term
what happened if the Pt will get used to laxative -
ANSWER-need bowel
training.
*ENEMA is like - ANSWER-osmotic agent
Stimulant are not laxative; it is for constipation
prevention. - ANSWER-:
bisacodyl, senna, castor oil. Emollient/ stool
softeners: Docusate-
Mineral oil. Patient comes in with C/O severe abd cramping and
XR shows lot of
Fecal matter - ANSWER-TREAT WITH
ENEMA
Pt on stimulant (Bisocodyl, Dulcolax) c/o pain, using daily for
several years, underweight what to do - ANSWER-Taper down
on stimulant lax and start on stool softener.
Pt on bulk lax to prevent constipation reports it is not
working anymore. -
ANSWER-ADD STOOL SOFTENER
DOCUSATE TO