Description
AGNP BOARD EXAM QUESTIONS Prescription Gastroenterology (85 Questions)
- A 45-year-old woman has been taking oral omeprazole (Prilosec) 40 mg twice daily for the treatment of gastroesophageal reflux. To discontinue the medication the nurse practitioner would:
- Patients receiving long-term proton pump inhibitors (PPIs) are at increased risk for fractures and:
- Ondansetron (Zofran) dosage should be adjusted in patients:
- The antiemetic that does NOT have potential to cause QT prolongation is:
- Promethazine (Phenergan), a 1st generation antihistamine, is contraindicated in the presence of:
- Oral metoclopramide is contraindicated in the patient diagnosed with:
- Hyperosmotic agents and saline laxatives should be avoided or used with caution in patients who have:
- Corticosteroids, used in the treatment of ulcerative colitis, usually do NOT:
- The plasma elimination half-life of esomeprazole (Nexium) is:
- Proton pump inhibitors (PPIs), such as pantoprazole (Protonix), block gastrointestinal acid secretion by:
- A 7-10 day regimen of ciprofloxacin (Cipro) plus metronidazole (Flagyl) is indicated for the outpatient treatment of:
- Ranitidine (Zantac), a histamine receptor antagonist, is contraindicated in:
- A patient who has been taking a proton pump inhibitor for the last 6 months reports persistent diarrhea for the past 3 weeks. The nurse practitioner should consider:
- Histamine receptor antagonists (H2RA), such as famotidine (Pepcid), inhibit acid secretions by:
- The length of treatment for oral metoclopramide should NOT exceed:
- A 42-year-old patient is being treated with 40 mg of famotidine (Pepcid) daily for the treatment of duodenal ulcers. The best time for the patient to take this medication is:
- Topical steroid cream, used in the treatment of hemorrhoids, should be applied twice daily for no more than:
- The drug of choice for the prevention of postoperative nausea and vomiting (PONV) is:
- Long-term use of histamine receptor antagonists (H2RA), such as ranitidine (Zantac), has been associated with:
- Due to potential for extrapyramidal symptoms, oral metoclopramide (Reglan) should NOT be administered concomitantly with:
- Prior to the initiation of long-term treatment with a proton pump inhibitor (PPI) and periodically during therapy, the nurse practitioner should monitor serum:
- Drug classes used as antiemetics do NOT include:
- Patients who take corticosteroids for Crohn’s disease should be instructed to notify the nurse practitioner if pain develops in the:
- Corticosteroids, used in the treatment of ulcerative colitis, are produced by the:
- Metoclopramide, for the treatment of gastroesophageal reflux, should be administered orally:
- The brand name of omeprazole is:
- Which medication may be used in infants for the treatment of functional constipation?
- Patients should be advised to remove the scopolamine patch if an adverse reaction occurs, such as:
- For patients who didn’t respond to an initial course of triple therapy for Helicobacter pylori, an alternate regimen should be prescribed. It would include a proton pump inhibitor (PPI) and:
- In the patient with an allergy to penicillin, treatment of Helicobacter pylori would include a proton pump inhibitor plus:
- The brand name of pantoprazole is:
- In patients with severe renal failure, the dosage of histamine receptor antagonists (H2RA) should be reduced by:
- The bioavailability and time to peak of oral ondansetron (Zofran) in the treatment of noncancerous nausea and vomiting are:
- The generic name for Dramamine is:
- Which of the following agents is NOT typically used to treat symptoms of pain and bloating associated with diarrhea-predominant irritable bowel syndrome (IBS)?
- The duration of action of meclizine (Antivert) is:
- Quadruple therapy for the treatment of peptic ulcer disease caused by Helicobacter pylori consists of:
- The brand name for esomeprazole is:
- The brand name of prochlorperazine maleate is:
- Scopolamine (Transderm-Scop) is indicated for the treatment of nausea and vomiting associated with:
- Triple therapy for treatment of peptic ulcer disease caused by Helicobacter pylori consists of:
- The brand name of metoclopramide, an antiemetic, is:
- A patient who has failed two courses of therapy for Helicobacter pylori should:
- Ondansetron (Zofran) is available as:
- The first-line regimen for the treatment of Helicobacter pylori is a proton pump inhibitor (PPI) plus:
- Lubiprostone (Amitiza), used in the treatment of chronic constipation, is contraindicated in patients who have:
- A 54-year-old man is diagnosed with diabetic gastroparesis. The drug that will promote gastrointestinal tract motility and produce an antiemetic effect is:
- The dose of prochlorperazine should be initiated at the lowest dose and titrated slowly in:
- Due to safety concerns, scopolamine should be used with caution:
- Antacids that contain aluminum hydroxide commonly cause:
- The most commonly reported side effect of metronidazole and clarithromycin combination therapy for Helicobacter pylori is:
- The following medication should NOT be administered concomitantly with clopidogrel (Plavix):
- Pantoprazole, a proton pump inhibitor, given with antibiotics for triple therapy treatment of Helicobacter pylori should be administered:
- Oral promethazine used for the treatment of nausea and vomiting should be administered as needed every:
- The brand name of famotidine is:
- Which of the following is NOT a contraindication for bismuth subsalicylate (Pepto-Bismol)?
- Patients should be advised to stop taking promethazine (Phenergan) and seek care if they develop:
- An antacid that may cause constipation is:
- The recommended duration of therapy for eradication of Helicobacter pylori is:
- Prochlorperazine and chlorpromazine are classified as:
- Infliximab (Remicade), a tumor necrosis factor inhibitor, is:
- Promethazine (Phenergan) should not be used in children younger than 2 years due to:
- Which of the following medications used for the treatment of GERD works by neutralizing hydrochloric (HCl) acid in the stomach to rapidly increase gastric pH?
- Helicobacter pylori is naturally resistant to:
- To reduce possible side effects related to triple therapy for the treatment of Helicobacter pylori, patients should be advised to:
- The scopolamine patch should be applied:
- The class of medications most useful in the treatment of chemotherapy induced nausea and vomiting is the:
- Which of the following laxatives should be avoided in patients who have renal impairment?
- How much fiber is optimal for a patient with hemorrhoids?
- Prolonged use of metoclopramide (Reglan) for the treatment of gastroparesis may cause:
- Histamine receptor antagonists (H2RA), such as ranitidine (Zantac), reach peak serum concentrations within:
- The antibiotics in triple therapy for the treatment of Helicobacter pylori should be administered:
- Which therapy should be initiated in a patient with moderate Clostridium difficile infection who has failed to respond to treatment with metronidazole (Flagyl)?
- Rabeprazole (Aciphex), used in the treatment of gastroesophageal reflux, is classified as a(n):
- Metoclopramide (Reglan), an antiemetic, increases gastric motility by:
- Which of the following is NOT a 5-HT3 receptor antagonist?
- First-line therapy for the empiric treatment of peptic ulcer disease includes treatment of the underlying cause plus:
- The medication that suppresses vestibular end-organ receptors and inhibits activation of central cholinergic pathways is:
- The most commonly reported side effects of oral ondansetron (Zofran) are:
- The medication class indicated for the intermittent (on-demand) relief of mild gastroesophageal reflux is:
- In addition to metoclopramide (Reglan), another prokinetic drug used to improve gastric motility is:
- Anticholinergic agents reduce nausea and vomiting by antagonizing the:
- Which of the following medications is classified as an antihistamine and a phenothiazine?
- To prevent motion sickness, a patient who is preparing to go on a cruise should be advised to apply the scopolamine patch:
- Side effects related to transdermal scopolamine may include: