2152 GI

Question 1

Management of Xerostomia

Answer 1

PO Pilocarpine 5mg TDS

Question 2

PPI based triple therapy + duration

Answer 2

PO Omeprazole 20 mg OD / BD
PO Clarithromycin 500 mg BD
PO Amoxicillin 1 g BD / Metronidazole 500 mg BD
for 14 days

Question 3

Levofloxacin based triple therapy + duration

Answer 3

PO Omeprazole 20 mg BD
PO Levofloxacin 500 mg OD
PO Amoxicillin 1g BD
for 10-14 days

Question 4

Chemoprevention for CRC (2)

Answer 4

PO Celecoxib 400 mg BD
PO Ca supplements

Question 5

4 types of laxatives (drug name)

Answer 5

1. stimulant = Senna 15 mg ON
2. Bulk-forming = Fybogel 1 sachet BD
3. Osmotic = Lactulose 10 mL TDS
4. Emollient = Docusate sodium

Question 6

IBS drug choices for episodic treatment (2)

Answer 6

Peppermint oil
PO Amitriptyline 10-30 mg OD

Question 7

IBS-D (2) v.s IBS-C (1) treatment

Answer 7

IBS-D:
1. PO loperamide 2 mg
2. PO Rifaximin 550 mg TDS for 14d
IBS-C
1. Lubiprostone 8 mcg BD

Question 8

5-ASA CI (2) + ADR (1)

Answer 8

ADR: photosensitivity
CI: methotrexate, breastfeeding

Question 9

5-ASA administration (3)
Sulfasalazine Mesalamine

Answer 9

1. take with food
2. stay hydrated
3. take folic acid supp

Question 10

GI red flags questions (5)

Answer 10

1. Difficulty chewing, swallowing, speaking (dysphagia, odynophagia)
2. Haematemesis (vomit blood)
3. Melaena (black, tarry stools)
4. Unintentional weight loss
5. Nocturnal diarrhoea