677

Patients On Nexium And Has Severe Heart Pain + No Other Diseases

Answer
( Continue Same Medication, Refer To Doctor, Add Cimetidine
788
What is equivalent to omeprazole 20 mg
Answer
-Esmopeazole 40 mg - Pantoprazole 40 mg - Ranitidine 300 mg daily (PORLE 40.20.20.30.20)

528
Case lab result all normal except Mg. which drug cause this
Answer
Gaviscon
Omeprazole
Ranitidine
537
Case of patient e GERD make lab data and results as following (Ca . Na .K. hco3) etc. were in normal range)
Abnormalities in test results is due to
Answer
1.cimetidine
2.ranitidine
3.pantoprazole
4.gaviscon
855 20 mg omeprazole
Answer = 300 mg cimetidine
34 What is treatment of H.pylori ?
H. Pylori eradication by triple therapy:
Regime i:− omeprazole 20 mg bd 14 days− clarithromycin 500 mg bd 14 days− amoxycillin 1 gm bds 14 days.
Regime ii:− omeprazole 20 mg bd 14− days amoxycillin 1 gm bd 14 days− metronidazole 400 mg tds 14 days36 PPI

equivalent doses ? Proton pump inhibitors

Esomeprazole 20
Lansoprazole 30
Omeprazole 20
Pantoprazole 40

557
patient will take esomeprazole what advise u can give to him
Answer
liver function test
577
women take drug for GI ulcer and her lab data shows hypomagnesemia which drug is responsible for that?
Answer
Omeprazole
715
Omeprazole advice
Answer
Every day, at morning before 30 -60 min of breakfast- Every day after 30-60 min- Any time

745
Case; for long time he using NSAID that cause ulcer
Answer
treatment ( lansoprazole)
264
Clopidogrel drug interaction? CYP2C19
Answer
May reduce antiplatelet effect w/ CYP2C19 inhibitor including PPI (e.g. Esomeprazole, omeprazole).
270 Patient taking omeprazole and still suffering from heartburn?
Answer Add Histamine antagonist
532
Esomeprazole for Esophageal injury ?
Answer
a. 14day
b. 30 day
4-8 weeks’ treatment duration is needed to heal the damage that caused by erosive esophagitis.
14 days treatment duration is needed for heartburn (OTC dose.)
560
The following data is wrong about domperidone except
Answer
A- Anti-vomiting without CNS effect
B- anti-inflammatory
C- anti-vomiting with central nervous system cutting
D - Other than the above
815 Treatment nausea and vomiting in pregnant woman
If lifestyle measures fail, pyridoxine (vitamin B6) with or without doxylamine is first line.

915
patient came to the emergency room with complaining nausea vomiting but no diarrhea and pain under the quadruple
rib that flares with fatty meals the appropriate diagnosis is
Answer
a- Gastric ulcer
b- IBS
d- cholelithiasis
52
464 What is antiemetic for cancer patient
Aprepitant (emend®)
Dolasetron (anzemet®)
Granisetron (kytril®)
Ondansetron (zofran®)
Palonosetron (aloxi®)
Proclorperazine (compazine®)
Promethazine (anergan®), (phenergan®)
Netupitant-palonosetron (akyzeo®)
Rolapitant (varubi®)
Lorazepam (ativan®)
Metoclopramide (reglan®)
Dexamethasone (decadron®)
Famotidine (pepcid®)

771
Parkinson Patients With Nausea And Vomiting What Can You Give Him?
Answer
Doperidone (Not metoclopramide)
21
Bromocriptin which medication to prevent nausea should be given
Answer
(one of option domperidone, metclopramide)
96
Used as galactagogic increase prolactin
Answer
Domperidone

511
Maximum Duration of Domperidone
Answer
7 days
516
Woman take Rivastigmine should take for nausea
Answer
Domperidone

54 Salmonella make diarrhea 10 in 10,000 people and shigella makes diarrhea 100 in 10,000 people? Choose the
correct statement
Answer
A- shigella is more virulent than salmonella
B- shigella is more pathogenic than salmonella
406
What is best advice for travel diarrhea
Answer
Hygiene of hand
476
Diarrhea treatment
Answer
Electrolytes and fluid or give antimotilty agent

563

Drug used in treatment of traveler diarrhea?

Answer

A-co-trimoxazole

B-ciprofloxacin

732
Diarrhea after traveling first was giving metronidazole but still their symptom of food poison What to do
Answer
I think vancomycin...
792 The prophylaxis in case of traveler diarrhea?
Answer bismuth subsalicylate (BSS)
Drug cause more peptic ulcer
Indomethacin - ketorolac – Piroxicam

Q- Which of the following is the most likely to be associated with CNS side effects in
elderly?
A) Antacids
B) PPIs
C) H2-antagonists
Q- Which of the following is the most likely to cause serious bleeding when are given with
aspirin?
A) Antacids
B) PPIs
C) H2-antagonists
Q- Drug interactions between clopidogrel and omeprazole through which enzyme ?
Omeprazole —> enzyme inhibitor
Clopidogrel —> prodrug
Omeprazole inhibit conversion of clopidogrel to the active metabolite
So we have to shift to panto
Q- what is the treatment of rivastigmine induced nausea and vomiting?
Domperidone

Q- Patient HAVE dry cough AND nausea TTT ? diphenhydramine

Q- A patient has dry cough and nausea , what is the most appropriate treatment for him ?
A. Dextromethorphan B. Diphenhydramine
Q- Patient with normal lab test except for Hypermagnesemia this is due to
A-Gaviscon
B-Omeprazole
A. C-Cimetidine

Q- Which bisphosphonate is associated with gastric ulcer? Alendronate – Risedronate

Q- PPI how work ?
Block the gastric H, K-ATPase, inhibiting gastric acid secretion.

Q- Patient has symptoms of allergy and need medication but want to continue their work?
Loratadine second generation of antihistamine which is less sedative
Example
* fexofenadine * loratadine * desloratadine * cetirizine
Q- Function colon?
A- Absorbed water, Na, Cl
B- Absorbed water, glucose
Q- In Irritable bowel syndrome what is the most causative factor?

Psychosocial stressor