gastro

Question 1

h.pylori tx

Answer 1

clarithromycin and amoxicillin/metronidazole BD

PPI BD

Question 2

which two drugs are given for opioid/immobility reduced constipation

Answer 2

lactulose and senna

Question 3

name all 5 onsets of action (hrs) of constipation

Answer 3

Senna 8-12
bisacodyl 10-12
docusate sodium 24-48
lactulose 48
ispaghula days

Question 4

how many days after should you start constipation tx

Answer 4

7-14

Question 5

when should you refer constipation

Answer 5

14 days with/without tx

Question 6

tx for moderate-severe ibs

Answer 6

linaclotide

Question 7

tx for terminally ill constipation

Answer 7

dantron

Question 8

which constipation tx do you give hepatic encephalopathy pts

Answer 8

lactulose

Question 9

which constipation tx do you give a 26 week pregnant woman

Answer 9

ispaghula husk

Question 10

if a stimulant, osmotic, bulk have failed you try…

Answer 10

prucalopride

Question 11

what do you give a constipated 6 year old

Answer 11

lactulose

Question 12

what is the main ingredient in movicol, cosmicol, laxido

Answer 12

macrogol 3350 with potassium chloride, sodium bicarbonate and sodium chloride

Question 13

what is the generic of fybogel

Answer 13

isphagula husk

Question 14

docusate sodium mechanism of action

Answer 14

wetting agent to soften stools

Question 15

tx for opioid induced constipation if all else fails

Answer 15

methylnaltrexone

Question 16

movicol mechanism of action

Answer 16

increases water in bowels

Question 17

which constipation tx do you give a 16 week pregnant woman

Answer 17

sterculia satchets

Question 18

age of anusol hc

Answer 18

18

Question 19

age of germaloids hc spray

Answer 19

16

Question 20

action for a 6 month old with diarrhoea for 5 days

Answer 20

dioralyte and refer

Question 21

action for a 18 month old with 5 motions yday and 2 this morning and has dry lips

Answer 21

dioralyte

Question 22

liquid paraffin can cause…

Answer 22

anal seepage

Question 23

what do you give a pt who has diarrhoea from crohns

Answer 23

colestyramine

Question 24

action for a 2 month old with 2 ep of diarrhoea in the last 24 hours

Answer 24

increase fluid intake

Question 25

action taken for an under 12 with 2 ep of diarrhoea this morning

Answer 25

increase fluid intake

Question 26

what strength does Nexium control come in

Answer 26

20mg

Question 27

ppi counselling label

Answer 27

30-60 mins before food

Question 28

ppis used for over 3 months - 1 year causes…

Answer 28

hypomagnesia

Question 29

stoma output irritation tx

Answer 29

ppi

Question 30

omeprazole rare side effect and what to look out for

Answer 30

toxic epidermal necrolysis - abdominal pain

Question 31

ppis increase risk of…

Answer 31

c.difficile

Question 32

how should you take creon caps and how can you take creon caps

Answer 32

whole and granules from inside cap can be mixed with apple sauce or yoghurt

Question 33

31 week pregnant acid reflux tx

Answer 33

gaviscon

Question 34

antacids counselling and why

Answer 34

iron 1 hr before or 2 hrs after antacid as it decreases absorption of iron

Question 35

max daily dose of pepto bismol

Answer 35

4200mg

Question 36

max daily dose of ranitidine

Answer 36

150mg

Question 37

orlistat dose for 36 year old female

Answer 37

120mg tds

Question 38

when should you refer orlistat

Answer 38

levothyroxine, aed and <18

Question 39

which vegetable causes blockages in stoma

Answer 39

broccoli