Digestive System Medications and Antimicrobial Drugs Quiz

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Questions and Answers

Which drug is contraindicated in active liver disease and in pregnancy and lactation?

  • Famotidine (Pepcid)
  • Atorvastatin (Lipitor) (correct)
  • Niacin (Niaspan, Niacor)
  • Colesevelam (Welchol)

Which drug should be taken at bedtime with a low-fat snack and used with caution in patients predisposed to gout?

  • Pravastatin (Pravachol)
  • Niacin (Niaspan, Niacor) (correct)
  • Lovastatin (Mevacor, Altoprev)
  • Rosuvastatin (Crestor, Ezallor)

Which drug inhibits the absorption of cholesterol at the brush border of the small intestine?

  • Ezetimibe (Zetia) (correct)
  • Colesevelam (Welchol)
  • Pravastatin (Pravachol)
  • Simvastatin (Zocor)

Which drug inhibits the histamine at H2 receptors on gastric parietal cells?

<p>Famotidine (Pepcid) (C)</p> Signup and view all the answers

Which drug should be reduced in renal impairment?

<p>Famotidine (Pepcid) (C)</p> Signup and view all the answers

Which drug interacts with cefuroxime, dasatinib, and risedronate?

<p>Famotidine (Pepcid) (C)</p> Signup and view all the answers

Which drug is contraindicated in patients with serum triglycerides concentrations >500mg/dL?

<p>Colesevelam (Welchol) (D)</p> Signup and view all the answers

Which drug should be used with caution in patients with a history of hypertriglyceridemia-induced pancreatitis?

<p>Colesevelam (Welchol) (C)</p> Signup and view all the answers

Which drug can increase fasting blood glucose and therefore requires monitoring?

<p>Niacin (Niaspan, Niacor) (A)</p> Signup and view all the answers

Which drug minimizes flushing when taken 30 minutes before the dose?

<p>Niacin (Niaspan, Niacor) (D)</p> Signup and view all the answers

What are the side effects of sulfonylurea and thiazolidinedione drugs used in diabetes treatment?

<p>Nausea, dizziness, and headache (A)</p> Signup and view all the answers

What is the goal A1c level for diabetes?

<p>Less than 7% (B)</p> Signup and view all the answers

Which drug is listed as the brand name for metformin?

<p>Glucophage (B)</p> Signup and view all the answers

What are the physiological effects of GLP-1 receptor agonists like Exenatide and Liraglutide?

<p>Increasing insulin secretion and decreasing food intake (D)</p> Signup and view all the answers

Which type of diabetes is almost fully insulin-dependent?

<p>Type 1 diabetes (A)</p> Signup and view all the answers

What are the counseling points provided for insulin administration?

<p>Timing and storage instructions (A)</p> Signup and view all the answers

For which condition are thyroid products like Levothyroxine warned against use?

<p>Obesity or weight loss (D)</p> Signup and view all the answers

Which testosterone products should not be given to men with prostate cancer?

<p>Androderm and Androgel (B)</p> Signup and view all the answers

What is the preferred contraception for breastfeeding women, as identified in the text?

<p>Norethindrone (B)</p> Signup and view all the answers

Which brand-generic name combination is listed for hormonal contraceptives in the text?

<p>NuvaRing for Ethinyl estradiol-etonogestrel (A)</p> Signup and view all the answers

Which drug should be avoided by pregnant women and can cause photosensitivity?

<p>Dutasteride (Avodart) (A)</p> Signup and view all the answers

Which antibiotic should be avoided in patients with penicillin allergies?

<p>Cephalexin (Keflex) (C)</p> Signup and view all the answers

Which antibiotic prevents bacterial DNA synthesis and should not be taken with alcohol?

<p>Ciprofloxacin (D)</p> Signup and view all the answers

Which medication is used to treat constipation and can cause photosensitivity?

<p>Polyethylene glycol (Miralax) (C)</p> Signup and view all the answers

Which antibiotic binds to the bacterial ribosome to inhibit protein synthesis?

<p>Azithromycin (Zithromax) (C)</p> Signup and view all the answers

Which antibiotic is believed to inadvertently cause C. diff infections?

<p>Rifaximin (Xifaxan) (A)</p> Signup and view all the answers

Which antibiotic should be used cautiously with certain other medications to avoid hyperkalemia?

<p>Potassium chloride (K-Dur, Klor-Con) (D)</p> Signup and view all the answers

Which medication is used to block serotonin and may cause constipation, diarrhea, and fatigue?

<p>Ondansetron (Zofran) (A)</p> Signup and view all the answers

Which antibiotic should be avoided in pregnant women, infancy, and children under 8 years old?

<p>Doxycycline (C)</p> Signup and view all the answers

Which drug should be stored refrigerated and discarded after 14 days?

<p>Amoxicillin (Amoxil) (D)</p> Signup and view all the answers

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Study Notes

Digestive System and Antimicrobial Drugs Summary

  • Dutasteride (Avodart) and other medications like Propecia and Proscar should not be handled by pregnant individuals and blood donation should be avoided for at least 6 months due to pregnancy warning.
  • 5-alpha reductase inhibitors like Dutasteride (Avodart) and Finasteride (Propecia, Proscar), and Solifenacin (Vesicare) should be avoided by pregnant women.
  • Polyethylene glycol (Miralax, Glycolax) is used to treat constipation and can cause photosensitivity.
  • Aminosalicylate medications such as Mesalamine (Apriso, Lialda, Pentasa) and Sulfasalazine (Azulfidine, Sulfazine), as well as oral potassium, can cause photosensitivity.
  • Oral potassium drugs like potassium chloride (K-Dur, Klor-Con) should be taken with food and a full glass of water to prevent gastric irritation and should be used cautiously with certain other medications to avoid hyperkalemia.
  • Amoxicillin (Amoxil, Trimox, Moxatag) is used to treat various infections and should be stored refrigerated and discarded after 14 days.
  • Macrolide antibiotics like Azithromycin (Zithromax, Zmax, Z-Pak, Tri-Pak), Clarithromycin (Biaxin), Erythromycin (Erythrocin, Ery-Tab), and Fidaxomicin (Dificid) bind to the bacterial ribosome to inhibit protein synthesis.
  • Cephalosporin antibiotics such as Cephalexin (Keflex), Cefuroxime axetil (Ceftin), Cefdinir (Omnicef), and Fidaxomicin (Dificid) should be avoided in patients with penicillin allergies.
  • Ondansetron (Zofran, Zuplenz) blocks serotonin and may cause constipation, diarrhea, and fatigue.
  • Tetracyclines like Doxycycline, Minocycline, and Metronidazole should not be taken with alcohol, and avoidance is recommended in pregnant women, infancy, and children under 8 years old.
  • Lincosamide antibiotic Clindamycin (Cleocin) and Rifamycin antibiotic Xifaxan (Rifaximin) are believed to inadvertently cause C. diff infections.
  • Fluoroquinolone antibiotics like Ciprofloxacin, Levofloxacin, Moxifloxacin, and Ofloxacin prevent bacterial DNA synthesis and are used to treat various infections.

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