GI Medications

Question 1

What are the symptoms of GERD?

Answer 1

heartburn and regurgitation

Question 2

How does a patient with GERD present?

Answer 2

worse when laying down and after eating fatty foods

Question 3

Who is at risk for GERD?

Answer 3

infants and those >40 yo

Question 4

What can be noticed on a PE in a patient with GERD?

Answer 4

erosion of tooth enamel

Question 5

How do we treat GERD?

Answer 5

PPI, H2 receptor antagonist, endoscopy

Question 6

When do you take a PPI?

Answer 6

in the morning with breakfast

Question 7

What are examples of medications used to treat GERD?

Answer 7

omeprazole (Prilosec) & esomeprazole (nexium)

Question 8

What causes PUD?

Answer 8

H. pylori and NSAIDS

Question 9

What are common symptoms of PUD?

Answer 9

epigastric pain (gnawing), burning that is aggravated with food

Question 10

How is PUD diagnosed?

Answer 10

clinically, endoscopy to confirm, stool antigen test

Question 11

What is the most common complication of PUD?

Answer 11

bleeding

Question 12

How do we treat PUD?

Answer 12

lifestyle modification, [amoxicillin, clarithromycin & PPI] -> (Prevpac) for 7-14 days

the PPI is iansoprazole

Question 13

How do we treat PUD caused by H. pylori?

Answer 13

switch to acetaminophen, then PPI (omeprazole/iansoprazole) for 4-8 wks.

Question 14

What are the characteristics of Ulcerative Colitis?

Answer 14

inflammation present in the colon and rectum, more common in Jews, rectal bleeding, tenesmus, and pseudo polyps.

Question 15

What are the characteristics of Chrons disease?

Answer 15

mouth to anus inflammation, RLQ pain, fever, fistulas and cobble stonning

Question 16

How do we diagnose IBD?

Answer 16

colonoscopy, sigmoidoscopy

Question 17

How do we treat IBD?

Answer 17

aminosalycilates (5-ASA) for moderate, budesonide for mild, prednisone for severe. SULFASALAZINE

Question 18

How do we treat n/v due to vertigo or motion sickness?

Answer 18

give anticholinergics/antihistamines (scopalamine is best)

Question 19

How do we treat n/v due to chemo?

Answer 19

metoclopramide

Question 20

How do we treat reg n/v?

Answer 20

haloperidol

Question 21

What do you give for constipation?

Answer 21

bulk laxatives (metamucil), mirolax/milk of magnesia (osmotic laxative), ex-lax

Question 22

What do you give for diarrhea?

Answer 22

fluids, bismuth, loperamide

Question 23

What is the hallmark characteristic of IBS-C?

Answer 23

visceral hypersensitivity

Question 24

T/F: in IBS-C pain is relieved by defecation

Answer 24

true