Gastroesophageal Reflux Disease (GERD) and TLC Quiz
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Questions and Answers

What diagnostic procedure should be performed in individuals with swallowing or breathing issues related to GERD?

  • Echocardiogram
  • Upper endoscopy (correct)
  • CT scan of the chest
  • MRI of the esophagus
  • Which symptom is NOT commonly associated with GERD?

  • Heartburn
  • Chest pain
  • Regurgitation
  • Shortness of breath (correct)
  • What is the recommended treatment for individuals with erosive esophagitis due to GERD?

  • Proton pump inhibitors (PPIs) (correct)
  • Antacids
  • Antibiotics
  • H2 blockers
  • What is the mechanism of action of H2 blockers in the treatment of GERD?

    <p>Competitive inhibition of histamine at H2 receptors of the gastric parietal cells</p> Signup and view all the answers

    What lifestyle change is recommended for individuals with nocturnal GERD?

    <p>Elevating the head of the bed</p> Signup and view all the answers

    What are examples of trigger foods for individuals with GERD?

    <p>Chocolate, caffeine, alcohol, acidic food, spicy food</p> Signup and view all the answers

    Which medication is no longer the preferred agent for treating GERD?

    <p>Cimetidine (Tagamet)</p> Signup and view all the answers

    What is the mechanism of action of proton pump inhibitors (PPIs) in suppressing gastric acid secretion?

    <p>Inhibit the parietal cell H+/K+ ATP pump</p> Signup and view all the answers

    What are the concerns associated with proton pump inhibitor (PPI) use?

    <p>Increased risk of chronic kidney disease</p> Signup and view all the answers

    Which antibiotic is a macrolide and a CYP 3A4 inhibitor?

    <p>Clarithromycin (Biaxin)</p> Signup and view all the answers

    What is the mechanism of action of amoxicillin in inhibiting bacterial cell wall synthesis?

    <p>Inhibits bacterial cell wall synthesis by binding to PBPs</p> Signup and view all the answers

    What is the main concern associated with metronidazole use?

    <p>Neurological side effects with alcohol consumption</p> Signup and view all the answers

    Which antibiotic should not be used in children due to its salicylate component?

    <p>Bismuth Subsalicylate (Pepto-Bismol)</p> Signup and view all the answers

    What is the mechanism of action of bismuth subsalicylate in peptic ulcer treatment?

    <p>Provides antisecretory effect through bismuth</p> Signup and view all the answers

    What do proton pump inhibitors (PPIs) decrease the absorption of?

    <p>Vitamin B12</p> Signup and view all the answers

    What are the typical side effects associated with proton pump inhibitors (PPIs)?

    <p>Headache and abdominal pain</p> Signup and view all the answers

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