Question

Case 8: Héctor, a 63-year-old male Subjective: • The patient presents today for acute abdominal pain • His pain started 3 days ago He is also experiencing nausea, dark-colored stools, and epigastric pain • He reports that he has been extremely stressed at work recently • He also reports a history of low back pain which he is self-managing He reports he is taking 800mg of ibuprofen every 4 hours He has been doing this for the past 2 weeks • Medications: Advil (ibuprofen) 800mg. Inderal (propranolol) 40mg, Valium (diazepam) 2mg. Allegra (fexofenadine) 180 mg Objective: • RR 14, BP 135/85, HR 97. Temp 99.2 F • Patient's abdominal exam is WNL other than vague discomfort • Patient's exam is negative for acute appendicitis Assessment & Plan • Gastric Ulcer o Pepcid (omeprazole) 40mg ER capsules: 1 cap po qd x8 weeks o Cytotec (misoprostol) 200 mcg tablets: 1 tab po qid x8 weeks o Tylenol (acetaminophen) 325mg tablets: 1 tab po prn for pain, NTE 3,000 a day o Discontinue ibuprofen 61. What type of antiulcer agent is Prilosec (omeprazole)? a. Antacid b. H-receptor antagonist c. H-receptor antagonist d. Proton pump inhibitor 62. What type of bacteria is a common cause of gastric ulcers? a. Methicillin-resistant Staphylococcus aureus b. Clostridium difficile c. Rhinovirus d. Helicobacter pylori 63. True or False: NSAID medications carry a black box warning for the development of gastrointestinal adverse events including bleeding, ulceration, and perforation a. True b. False 64. True or False: Cytotec can increase the absorption of medications such as tetracyclines, ranitidine, and ciprofloxacin a True b. False 65. Which of the following medications is an example of an H-receptor antagonist? a. Pepcid (famotidine) b. Claritin (loratadine) c. Cholac (lactulose) d. Zosyn (piperacillin)

Answer 1

61.(d)proton pump inhibitor.

Reason:

> omepia gole is a paoton Pump Ehibitoa ) selective E iareuersible proton pump înhibitor suppress Tahibiting The The stomach acid Seozetion H+/kt- ATPOSA yeim.

62.(d) Helicobacter pylori.

Reason:

you body Hour digesfe falact ftu long Hme, They caeise sores called dfomach. Me licobacter and live Pyloai, Enter The nig 1 you df elcey s The neng you stomach

63.true(a).

Reason:

Block Bou aairisg =) Tace, NSAID fer The Eddeets carrying deuulofmért of gastao Irtertral

65.(a)pepcide(famotidine).

Reason:

O glamotidine (pepcid) is a la -Uc0ptar gntagonist O de rease The Paodue. + Treak ard amourk f aed he atomalh preverk ulus,