IBS Quiz: Colitis, Symptoms, and Therapy
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Questions and Answers

What is a more characteristic feature of ulcerative colitis compared to Crohn's disease?

  • Confinement of disease to the small intestine
  • Involvement of the terminal ileum
  • Fistula formation
  • Superficial continuous inflammation of the intestinal mucosa (correct)
  • Which enzyme's activity should be evaluated before starting therapy in patients receiving azathioprine?

  • HLA DRP
  • Xanthine oxidase
  • TPMT (correct)
  • CYP2D6
  • In ulcerative colitis, where is the disease mainly located?

  • In the rectum and sigmoid colon
  • In the terminal ileum
  • Throughout the majority of the colon (correct)
  • Only in the rectal area
  • Which adverse effect is more likely with the combination of infliximab and azathioprine?

    <p>Lymphoma</p> Signup and view all the answers

    Which drug should be administered intravenously?

    <p>Golimumab</p> Signup and view all the answers

    What is a potential adverse effect of ustekinumab?

    <p>Neural tube defects</p> Signup and view all the answers

    What is considered first-line for the prevention of motion sickness?

    <p>Scopolamine</p> Signup and view all the answers

    Why is the use of promethazine contraindicated in patients less than 2 years old?

    <p>May result in fatal respiratory depression</p> Signup and view all the answers

    What is a recommended dietary modification for managing nausea and vomiting?

    <p>Eating smaller, more frequent meals</p> Signup and view all the answers

    Which medication is beneficial in reducing nausea but not vomiting?

    <p>Pyridoxine</p> Signup and view all the answers

    What must be considered when persistent nausea and/or vomiting requires drug therapy?

    <p>Potential teratogenicity of the medication</p> Signup and view all the answers

    Why is the transdermal system (patch) preferred for scopolamine administration?

    <p>Enhanced patient satisfaction and decreased side effects</p> Signup and view all the answers

    In patients with opioid-induced constipation, which medication can be administered in the hospital for short-term use?

    <p>Methylnaltrexone</p> Signup and view all the answers

    What amount of fiber in the daily diet is recommended to prevent constipation?

    <p>50 to 55 g</p> Signup and view all the answers

    What is a recommended treatment measure in constipation-predominant IBS for mild symptoms?

    <p>Polyethylene glycol</p> Signup and view all the answers

    What treatment is recommended in diarrhea-predominant IBS for moderate symptoms along with avoidance of certain foods?

    <p>Rifaximin</p> Signup and view all the answers

    Which medication may be used for its analgesic effects in patients with IBS-associated pain?

    <p>Amitriptyline</p> Signup and view all the answers

    What is a common cause of acute diarrhea in the United States according to the text?

    <p>Bacterial organisms</p> Signup and view all the answers

    What is the recommended therapy for treatment of acute thromboembolism during pregnancy according to ACOG?

    <p>Enoxaparin</p> Signup and view all the answers

    Why should fondaparinux be avoided for the treatment of acute thromboembolism during pregnancy?

    <p>Potential teratogenicity</p> Signup and view all the answers

    What is the preferred therapy to prevent heartburn/GERD symptoms during pregnancy according to the information provided?

    <p>H2 receptor antagonists</p> Signup and view all the answers

    Why is valproic acid and phenobarbital usage suggested to be avoided before conception?

    <p>Known teratogenic risks</p> Signup and view all the answers

    When does ACOG recommend starting low-dose aspirin in pregnant patients at risk for preeclampsia?

    <p>12-16 weeks</p> Signup and view all the answers

    Why are direct oral anticoagulants not recommended for use in pregnancy?

    <p>Unknown teratogenic potential</p> Signup and view all the answers

    Which hormonal agent is supported as the most cost-effective option for managing heavy menstrual bleeding?

    <p>Levonorgestrel-releasing intrauterine system (LNG-IUS)</p> Signup and view all the answers

    Which nonpharmacologic option has NOT been shown effective in managing dysmenorrhea?

    <p>Topical ice packs</p> Signup and view all the answers

    What percentage is noted as the extreme prevalence of dysmenorrhea, significantly impacting many individuals' quality of life?

    <p>90%</p> Signup and view all the answers

    What are considered the first-line treatments for Premenstrual Dysphoric Disorder (PMDD)?

    <p>Antidepressants</p> Signup and view all the answers

    Which dosing regimen shows LESS negative impact on libido from a medication adverse effect standpoint in managing Premenstrual Syndrome and Premenstrual Dysphoric Disorder?

    <p>Luteal phase dosing</p> Signup and view all the answers

    Which two medications have been noted to cause birth defects more frequently compared to others when used in Premenstrual Syndrome and Premenstrual Dysphoric Disorder?

    <p>Paroxetine and fluoxetine</p> Signup and view all the answers

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