GI/GU/Reproductive
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| Which of the following is not true regarding UTIs: | First line treatment includes 1st generation Cephalosporins or amoxicillin
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| Which of the following is true regarding UTIs | Most commonly caused by E.coli, Common in pregnancy, and symptoms can be relieved through administration of pyridium
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| In a stepwise approach to treating peptic ulcer disease (PUD), Step 1 treatment for GERD and PUD includes lifestyle modifications; however, lifestyle modification is more important in PUD than in GERD. True or False | False- this step alone may help patients with mild disease or only occasional symptoms, but is unlikely to heal ulcers. Step 2 is appropriate (H pylori testing and PPI)
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| Which should patients avoid when taking a calcium based antacid: | Spinach and Rhubarb, use caution in these foods because foods high in oxalic acid can reduce the absorption of the medication and decrease its efficacy. They should also avoid bran (contains phytic acid) which interferes with absorption.
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| Dairy products or foods that contain high levels of phosphorus should be avoided with calcium based antacids because: | concomitant use may lead to milk-alkali syndrome (nausea, vomiting, confusion, and headache)
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| Citrus juice taken with calcium based antacids: | helps to improve the absorption helping improve the medications efficacy.
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| Which of the following patients would you most likely recommend estrogen treatment for menopause and symptoms: | a 46 year old female who had a hysterectomy
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| You are giving instructions a 19 year who has just decided that she wants to start taking birth control. Which of the following would NOT be part of your teaching. | As soon as you start your birth control additional form of birth control is no longer needed, you should use an additional form of birth control for first cycle.
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| Which of the following is the appropriate prescription for a pregnant woman with an asymptomatic UTI? | Macrobid BID X 7 days
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| In which of the following patients would ALL antacids be contraindicated? | A patient with severe abdominal pain of unknown cause and a fever
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| The first drug used for nocturnal enuresis is Imipramine which statement is not true . | Imipramine does not have cardiac effects. There are 2 cardiac side effects, tachycardia and irreversible heart block.
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| A 45 year-old woman comes to your office seeking birth control. She is concerned that she will not reliably take a pill every day. She is a 1 pack per day smoker and has osteoporosis. Of the following choices, which would be the best for this patient? | Implanon, (is a progesterone only contraceptive, which i suitable for use in smokers)
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| A patient comes in with GERD sx. and you suspect H. Pylori and after running the H. Pylori test you find the patient positive for H. Pylori. Knowing this you prescribe this patient who was NkDA the following medications. | Clarithromycin, amoxicillin, and laznoprazole for 7-10 days. Also known as Prevpac, if a patient is allergic to PCN, they can use flagyl instead of amoxicillin.
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| The drug of choice for adults for prophylaxis or for recurrent UTI's is | trimethoprim/ sulfamethoxazole QHS (Bactrim DS)
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| What is the best first line of treatment for GERD: | lifestyle changes
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| Which laxative should be administered cautiously in patients with CAD | Bisacodyl has to be given conservatively in patients with CAD because the medication is to be used with caution in patients who have severe CVD
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