GI Quiz

Question 1

Categories for GERD/ULCER disease

Answer 1

Histamine 2 antagonists
Antacids
PPI
GI protectant
Prostaglandins

Question 2

Where are the H2 receptors

Answer 2

stomach parietal cells

Question 3

What do the H2 do

Answer 3

make acid

Question 4

-dine

Answer 4

H2 antagonists

Question 5

Drug that is cardio protective in CHF

Answer 5

H2 antagonists

Question 6

Indications for H2 antagonists

Answer 6

Short term treatment of active duodenal ulcer, benign gastric ulcer and GERD

Question 7

If you use H2 antagonists/PPI long term

Answer 7

increased risk for cell malfunction = stomach cancer

need problem fixed

Question 8

H2 antagonist drug

Answer 8

ranitidine (Zantac)

Question 9

What do antacids do

Answer 9

neutralize stomach acid by direct chemical reaction

Question 10

Bicarb corrects

Answer 10

acidosis

Question 11

Indications for antacids

Answer 11

symptomatic relief of upset stomach from hyperacidity and hyperactivity

Question 12

Antacids contraindicated with

Answer 12

GI obstruction

Conditions exacerbated by electrolyte imbalance

Question 13

Adverse effects of antacids

Answer 13

rebound acidity

alkalosis

Question 14

Drug that should be taken separate from other food/drugs

Answer 14

antacids

Question 15

Systematically alkalotic

Answer 15

headache
nausea
vomiting
muscle twitching

Question 16

Antacid drug

Answer 16

aluminum salts (AlternaGEL)

Question 17

What do PPIs do

Answer 17

prevent final step of acid production

Question 18

Indications for PPI

Answer 18

short term treatment

treat H pylori

Question 19

Adverse reactions of PPI

Answer 19

C diff, increased bone loss

Question 20

PPI drug

Answer 20

omeprazole (Prilosec)

Question 21

what do GI protectants do

Answer 21

form ulcer-adherent complex at duodenal ulcer sites

Question 22

Indications for GI protectants

Answer 22

promote ulcer healing

Question 23

Adverse effects of GI protectants

Answer 23

GI effects (including dry mouth)

Question 24

Drug won’t get bound if given with food

Answer 24

GI protectant

Question 25

GI protectant drug

Answer 25

sucralfate (Carafate)

Question 26

what do prostaglandins do

Answer 26

inhibit gastric acid secretion and increases bicarb/mucus production in stomach

Question 27

indications for prostaglandins

Answer 27

prevent NSAID ulcers | Treat duodenal ulcers

Question 28

Adverse effects of prostaglandins

Answer 28

GU effects

Question 29

Drug that is an abortafacient

Answer 29

prostaglandins

Question 30

prostaglandin drug

Answer 30

misoprostol (Cytotec)

Question 31

what do pancreatic enzymes do

Answer 31

replace enzymes that help digestion and absorption of fats, proteins and carbohydrates

Question 32

Indications for pancreatic enzymes

Answer 32

cystic fibrosis, pancreas disease and common bile duct problems

Question 33

adverse effects of pancreatic enzymes

Answer 33

GI irritation, nausea, abdominal cramps and diarrhea

Question 34

when should you take pancreatic enzymes

Answer 34

with meal

Question 35

pancreatic enzyme drug

Answer 35

pancrelipase (Pancrease)

Question 36

GI motility categories

Answer 36

laxatives GI stimulants antidiarrheals

Question 37

who uses laxatives

Answer 37

elderly and women trying to lose weight

Question 38

indications for laxatives

Answer 38

short term relief of constipation removal of ingested poisons evacuate bowel for procedure

Question 39

adverse effects of laxatives

Answer 39

uterine contractions | cathartic dependency

Question 40

chemical stimulant drug

Answer 40

bisacodyl (Dulcolax)

Question 41

chemical stimulants do

Answer 41

irritate the GI tract lining

Question 42

bulk stimulant drug

Answer 42

magnesium citrate (Citrate of Magnesia)

Question 43

bulk stimulants do

Answer 43

cause fecal matter to increase in bulk

Question 44

lubricant drug

Answer 44

docusate (Colace)

Question 45

lubricants do

Answer 45

help intestinal contents move more smoothly through lubrication

Question 46

what do GI stimulants do

Answer 46

block dopamine and increase Ach to stimulate PNS in GI tract | -keeps dopamine around

Question 47

worst side effects of GI stimulants

Answer 47

EPS

Question 48

GI stimulant drug

Answer 48

metoclopramide (Reglan)

Question 49

what do antidiarrheals do

Answer 49

slow the motility of the GI tract through direct action of the lining -more water and electrolytes absorbed

Question 50

indications for antidiarrheals

Answer 50

diarrhea reduction of volume from ileostomies traveler's diarrhea

Question 51

worst adverse effect of antidiarrheals

Answer 51

toxic megacolon

Question 52

how is toxic megacolon found

Answer 52

fever abdominal pain decreased bowel sounds

Question 53

contraindications for antidiarrheals

Answer 53

poisoning | obstruction

Question 54

antidiarrheal drug

Answer 54

loperamide (Imodium)

Question 55

antiemetic categories

Answer 55

phenothiazines anticholinergics serotonin 5HT3 receptor blockers

Question 56

what do phenothiazines do

Answer 56

depress CTZ of CNS | highly anticholinergic

Question 57

indications for phenothiazines

Answer 57

n/v hiccoughs don't have many options

Question 58

adverse effects of phenothiazines

Answer 58

red/brown urine sun sensitivity risk for falls

Question 59

phenothiazine drug

Answer 59

promethazine (Phenergan)

Question 60

what do anticholinergics do

Answer 60

act as antihistamine and block impulses to CTZ

Question 61

indications for anticholinergics

Answer 61

n/v | dizziness

Question 62

anticholinergic drug

Answer 62

meclizine (Antivert)

Question 63

what do serotonin 5HT3 receptor blockers do

Answer 63

block n/v receptors in CTZ

Question 64

indications for serotonin 5HT3 receptor blockers

Answer 64

control n/v associated with chemo

Question 65

adverse effects of serotonin 5HT3 receptor blockers

Answer 65

myalgia urinary retention very safe

Question 66

serotonin 5HT3 receptor blocker drug

Answer 66

ondansetron (Zofran)