GI Pharm High Yield Flashcards

1
Q

Name the class:

Cimetidine
Ranitidine
Famotidine

A

H2 Blocler

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2
Q

Does cimetidine induce or inhibit P450?

A

Inhibit!!!!

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3
Q

AE of H2 blockers?

A

antiandrogenic effects, cross BBB to cause confusion/ dizzy

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4
Q

Which H2 blockers should not be used in renal dysfunction?

A

Cimitidine and ranitidine

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5
Q

Name the class:

Omeprazone
lansoprzole
esomeprazole

A

PPI

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6
Q

Are PPI’s reversible or irreversible?

A

irreversible

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7
Q

AE of PPI’s?

A

C. diff, pneumonia, decrease serum Mg2+

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8
Q

Mechanism of bismuth sucralfate?

A

bind to ulcer base and provide protection

allow HCO3 secretion to reestablish pH gradient in the mucous layer

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9
Q

PGE1 analog?

A

misoprostol

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10
Q

Who is misoprostol contraindicated in?

A

women of childbearing potential (antiabortive)

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11
Q

Mechanism of octreotide?

A

long acting somatostatin analog

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12
Q

What metabolic imbalance can ALL antacids cause?

A

hypokalemia

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13
Q

Name the class:

Magnesium hydroxide
Magnesium citrate
Polyethylene glycol
Lactulose

A

Osmotic laxatives

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14
Q

Name the class:

Aluminum hydroxide
calcium carbonate
Magnesium hydroxide

A

Antacids

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15
Q

AE of calcium carbonate?

A

Hypercalcemia and rebound acid increase

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16
Q

Dx used to treat hepatic encephalopathy?

A

Lactulose–> promotes the excretion of NH4+

17
Q

What is Sulfasalazine?

A

combo of sulfapyridine (antibacterial) and 5- aminosalicylic acid (anti inflammatory)

18
Q

What is sulfasalazine used for?

A

UC, CD

19
Q

Mechanism of ondansetron?

A

5HT3 antagonist–> decrease vagal stimulation–> anti-emetic properties

20
Q

AE of ondansetron?

A

HA, constipation, QT interval prolongation

21
Q

Name the mechanism?

Metoclopramde

A

D2 receptor antagonist–> increase resting tone of LES and promote motility

22
Q

AE of metoclopramide?

A

TD, parkinson effects