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Revision Questions: Gastrointestinal (Preview)

Sample Questions

  1. True or false. PPIs and H2 antagonists are equally effective for the treatment of functional dyspepsia but H2 antagonists are less expensive.
  2. True or false. Increasing the PPI dose is more effective than combination treatment using a PPI and H2 antagonist.
  3. True or false. Doubling the H2 antagonist dose does not increase efficacy.
  4. List at least three medications which may worsen reflux.
  5. Recommend a suitable H.pylori eradication regimen for a patient who is allergic to penicillin. What about a person who can not take clarithromycin?

Sample Answers

  1. True
  2. True
  3. True
  4. NSAIDs, CCBs, nitrates and theophylline are examples of drugs which can worsen reflux.
  5. If amoxycillin is unsuitable, replace with metronidazole (PPI standard dose twice daily, clarithromycin 500mg twice daily, metronidazole 400mg twice daily for 7 days). If clarithromycin is unsuitable, replace with amoxycillin (PPI standard dose twice daily, amoxycillin 500mg three times daily, metronidazole 400mg twice daily for 14 days).

The full version has many more questions with answers included.

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