Chapter 39 Flashcards

1
Q

Which gland in the stomach has the most cells

A

Gastric

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2
Q

Which cells produce hydrochloric acid

A

Parietal cells

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3
Q

Which cells secret pepsinogen which becomes pepsin when exposed to acid

A

Chief cells

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4
Q

Which cells produce mucous to protect the lining of the GI from acid

A

Mucous cells

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5
Q

Hydrochloric acid maintains the stomach at what PH

A

1-4

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6
Q

What treats peptic ulcer disease

A

Triple therapy or Quadruple therapy. Uses PPI, 2 antibiotics, and bismuth subsalicylate

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7
Q

What are the 3 types of acid controlling drugs

A

Antacids
H2 antagonists
PPI

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8
Q

What are antacids

A

Neutralize stomach acid

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9
Q

What compound is found in antacids that counteracts the constipating effects of aluminum and calcium

A

Magnesium

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10
Q

Which type of antacid can cause kidney stones

A

Calcium

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11
Q

Which type of antacid cannot be given in renal failure

A

Magnesium

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12
Q

Which antacid has a quick onset but short duration

A

Sodium bicarbonate

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13
Q

What acid drug category does not prevent the over production of acid but neutralizes it

A

Antacids

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14
Q

When should antacids not be given

A

Intestinal obstruction

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15
Q

Which antacid is recommended for patients with renal disease

A

Aluminum salts

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16
Q

Which antacid causes metabolic alkalosis

A

Sodium bicarbonate

17
Q

What is in antacids to relieve painful symptoms

A

Simethicone

18
Q

What do H2 receptor antagonists do

A

Reduce acid secretion

19
Q

H2 antagonists can cause what in the elderly

A

Confusion

20
Q

Which acid controlling drug can cause erectile dysfunction

A

Cimetidine

21
Q

Which anti acid drug can cause thrombocytopenia

A

Ranitidine

22
Q

Which acid controlling drugs can inhibit the absorption of other drugs requiring an acid environment

A

H2 antagonists

23
Q

What do proton pump inhibitors do

A

Stop the parietal cells from releasing position hydrogen ions

24
Q

Which acid controlling drug can cause C diff

A

PPI

25
Q

Which acid controlling drug binds to the base of ulcers to protect them from acid

A

Sucralfate

26
Q

Which acid controlling drug binds with phosphate and helps chronic renal failure

A

Sucralfate

27
Q

Which acid controlling drug causes more mucous production to protect the GI lining

A

Misoprostol

28
Q

What acid controlling drug is used to prevent NSAID ulcers

A

Misoprostal

29
Q

Which acid controlling drug can be given by NG tube

A

Pantoprazole