Question 1
Jim presents with complaints of “heartburn” that is minimally relieved with Tums (calcium carbonate) and is diagnosed with gastroesophageal reflux disease (GERD). An appropriate first-step therapy would be:
Omeprazole (Prilosec) twice a day
Ranitidine (Zantac) twice a day
Famotidine (Pepcid) once a day
Metoclopramide (Reglan) four times a day
Question 2
An elderly person has been prescribed lactulose for the treatment of chronic constipation. Monitoring with long-term treatment would include:
Electrolytes, including potassium and chloride
Bone mineral density for osteoporosis
Magnesium level
Liver function
Question 3
The next step in treatment when a patient has been on proton pump inhibitors twice daily for 12 weeks and not improving is:
Add a prokinetic (metoclopramide)
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