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Duke PA GI Pharmacology

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Question
Answer
show acid and pepsin  
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show acetylcholine, histamine, gastrin  
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pretective forces in GI   show
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Helicobacter pylori produces __ which forms an acid-neutralizing cloud that protects H. pylori but damages tissue   show
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show H. pylori  
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NSAID mechanism of injury to stomach   show
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show food worsens pain  
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show pain relieved by food/antacids  
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show DU  
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most __ are biopsied to r/o cancer   show
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by neutralizing acid __ is inhibitied   show
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show antacids  
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onset of antacids is usually __ after administration   show
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duration of antacids is usually __   show
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show aluminum hydroxide, magnesium hydroxide, calcium carbonate  
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systemic antacids   show
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show constipation  
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show diarrhea  
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show constipation  
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can deliver large amounts of sodium to systemic circulation, can alter systemic pH, use only for short term   show
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show parietal cells  
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properly taken H2A will heal __% of DU at 8 weeks and __% of GU at 12 weeks   show
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__ can cause alcohol to remain in your system for longer   show
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block gastric acid secretion by inhibiting gastric H/K ATPase in gastric parietal cells   show
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produces profound, long lasting anti secretory effects   show
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show Sucralfate (carafate)  
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a synthetic prostaglandin that increases mucus production and mucosal bicarb. Indicated for NSAID induced gastric ulcers.   show
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show Diarrhea, ab pain, flatulence, abortifacient  
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retrograde movement of gastric contents from the stomach into the esophagus   show
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drugs that decrease gastric acid   show
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show bethanechol, metoclopramide, cisapride  
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drugs that increase gastric emptying   show
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show cisapride, bethanechol  
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__ in GERD is less efficacious than in PUD   show
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esophagela healing __ for PPI as compared with H2A   show
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show visceral stimuli, chemoreceptor trigger zone, vestibular inpu  
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drug induced N/V   show
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show H2A, antacids  
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most practical for long-term treatment for N/V   show
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serotonin antagonists are best for   show
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serotonin antagonists are not effective for __   show
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show Zofran, Kytril  
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show serotonin antagonists  
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show gastric stasis or CINV  
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example of a prokinetic agent   show
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show CINV  
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show chemo induced nausea and vomiting  
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show post-operative nausea and vomiting  
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show CINV and PONV  
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show decadron, prednisone  
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show anticipatory N/V  
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examples of bezno's used for N/V   show
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butyrophenones are best used for   show
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example of butyrophenone used for N/V   show
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show Neurokinin-1 antagonists  
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drugs that induce diarrhea   show
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show withhold feeding (not for children)  
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pharmacologic treatment options for diarrhea   show
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bacterial diarrhea (C. dif), Colitis, children <2, are contraindications for use of __   show
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show 48 hours  
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show loperamide  
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used for symptomatic relief, not very effective for sever acute diarrhea, not systemically absorbed (Kaopectate, FiberCon)   show
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examples of antisecretory agent   show
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common pathogens for traveler's diarrhea   show
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show prphylactic antibiotics  
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show encourage 10g crude fiber in daily diet, 1 month trial  
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pharmacologic treatment options for constipation   show
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bulk forming laxatives (metamucil) are best used for   show
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show saline laxatives (Magnesium Citrate, (MOM)  
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show emollient laxatives (docusate(Colace))  
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not recommended for routine use, in the elderly, or children <6 years old. Coats stool for easier passage, inhibits colonic absorption of water, increase stool weight and decrease stool transit time. Take on empty stomach, not before bed   show
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show stimulants  
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anthraquinone stimulants   show
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show bisacodyl (dulcolax), phenolphthalein (removed from the marked due to carcinogenic capabilities)  
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