Irritable Bowel Syndrome Treatment and Types
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Questions and Answers

What is the mechanism of action of 6-Mercaptopurine (Purixan) in the treatment of ulcerative colitis?

  • Binding to alpha4beta7 integrin
  • Inhibition of Janus kinase
  • Inhibition of DNA and RNA synthesis (correct)
  • Interference with TNF alpha activity

Which side effect is commonly associated with the use of Infliximab (Remicade) in the treatment of ulcerative colitis?

  • Injection site reaction
  • Increased liver enzymes
  • Dizziness
  • Headache (correct)

What is the main concern when using Vedolizumab (Entyvio) in the treatment of ulcerative colitis?

  • Injection site reactions
  • Development of PML
  • CYP3A4 interactions
  • Hypersensitivity reactions (correct)

Which medication is contraindicated in patients with heart failure in the treatment of ulcerative colitis?

<p>Adalimumab (Humira) (A)</p> Signup and view all the answers

What is the primary concern when using Certolizumab Pegol (Cimzia) in the treatment of Crohn’s disease?

<p>Development of TB or infections (C)</p> Signup and view all the answers

Which class of medications can exacerbate Crohn’s disease?

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

What is the mechanism of action of loperamide (Immodium A-D)?

<p>Inhibits excessive GI motility and GI propulsion through the opioid receptor (D)</p> Signup and view all the answers

Which medication is contraindicated for the treatment of infectious diarrhea?

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

What is one of the concerns associated with the use of bismuth subsalicylate (Pepto-Bismol)?

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

Which antibiotic interacts with DNA to cause loss of helical DNA structure and inhibition of protein synthesis?

<p>Metronidazole (Flagyl) (A)</p> Signup and view all the answers

What is the mechanism of action of Bezlotoxumab (Zinplava)?

<p>Binds C. difficile toxin B and neutralizes it (A)</p> Signup and view all the answers

What are the two most common functional GI disorders worldwide?

<p>Irritable bowel syndrome and chronic idiopathic constipation (D)</p> Signup and view all the answers

What is the basis for subtyping IBS?

<p>Predominant bowel habit (A)</p> Signup and view all the answers

What does IBS typically occur in?

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

What is the socioeconomic impact of IBS?

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

What is used as the basis for classifying the bowel habit type in IBS?

<p>Patient's description of stool form based on Bristol Stool Scale (A)</p> Signup and view all the answers

Which of the following is not a sub-type of IBS?

<p>Abdominal bloating type (IBS-B) (D)</p> Signup and view all the answers

Which of the following is not a category of antidiarrheal medication?

<p>Fluid and electrolyte inhibitors (C)</p> Signup and view all the answers

Which condition can be caused by increased GI motility or decreased fluid absorption from the gut?

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

What is the primary objective of integrating knowledge about drugs used to treat inflammatory bowel disease?

<p>To use these drugs effectively (C)</p> Signup and view all the answers

Which category of drugs is used to treat diverticulitis?

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

What is a potential cause of diarrhea besides bacterial or viral infection?

<p>Decreased GI motility (C)</p> Signup and view all the answers

What is the main focus of integrating knowledge about drugs used to treat irritable bowel syndrome?

<p>Using the drugs appropriately (D)</p> Signup and view all the answers

Which medication for IBS acts as an agonist of guanylate cyclase-C, resulting in increased intestinal fluid and decreased GI transit time?

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

What is the main concern associated with the use of Alosetron (Lotronex) in treating IBS?

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

Which medication for IBS acts as a mixed mu-opioid receptor agonist, delta opioid receptor antagonist, and kappa opioid receptor agonist?

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

Which medication for IBS should not be used in those who drink more than 3 glasses of alcohol per day?

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

Which medication for CIC is administered immediately prior to breakfast or the first meal of the day and immediately prior to dinner?

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

Which medication for CIC acts as an osmotic agent that causes water retention in the stool and increases stool frequency?

<p>PEG 3350 (Miralax) (B)</p> Signup and view all the answers

Which antibiotic combination is used for inpatient treatment of diverticulitis?

<p>Metronidazole plus Ciprofloxacin (A)</p> Signup and view all the answers

What is the mechanism of action of Ciprofloxacin (Cipro)?

<p>Inhibits DNA-gyrase in susceptible organisms thus inhibiting relaxation of supercoiled DNA and promoting double-stranded DNA breakage (B)</p> Signup and view all the answers

What are the concerns associated with the use of Metronidazole (Flagyl)?

<p>NO ALCOHOL while taking and for 3 days after stopping the medication (C)</p> Signup and view all the answers

Which antibiotic is a combination drug with a beta-lactam antibiotic plus a beta-lactamase inhibitor?

<p>Amoxicillin + Clavulanate (C)</p> Signup and view all the answers

What is the mechanism of action of Moxifloxacin (Avelox)?

<p>Inhibits DNA-gyrase in susceptible organisms thus inhibiting relaxation of supercoiled DNA and promoting double-stranded DNA breakage (B)</p> Signup and view all the answers

Which antibiotic should be avoided in neonates (ï‚£28 days)?

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

Which antibiotic is an IV antipseudomonal PCN?

<p>Ampicillin + sulbactam (Unasyn) (B)</p> Signup and view all the answers

What is the primary concern associated with Meropenem (Merrem)?

<p>(history of seizures) (A)</p> Signup and view all the answers

(Bactrim) is composed of which antibiotics?

<p>(Sulfamethoxazole + Trimethoprim) (B)</p> Signup and view all the answers

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