Laxatives Mechanism of Action Quiz
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Questions and Answers

What is the definition of constipation?

  • Having a bowel movement every day
  • Having a bowel movement exactly 3 times per week
  • Having a bowel movement at least 3 times per week
  • Having a bowel movement less than 3 times per week (correct)
  • Which of the following is NOT a cause of constipation as mentioned in the text?

  • Ignoring the urge to have a bowel movement
  • Decreased physical activity
  • Excessive physical activity (correct)
  • Diet low in fiber and inadequate fluid intake
  • Which of the following is considered a metabolic and endocrine disorder that can lead to constipation?

  • Irritable bowel syndrome (IBS)
  • Anal fissures
  • Hemorrhoids
  • Diabetes mellitus with neuropathy (correct)
  • What is the recommended first-line treatment for constipation according to the text?

    <p>Non-pharmacological treatment including a diet rich in fibers</p> Signup and view all the answers

    Which of the following is NOT a class of drugs that can contribute to constipation?

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

    Which neurological condition can be associated with neurogenic constipation according to the text?

    <p>Head trauma</p> Signup and view all the answers

    Which type of laxative works by retaining water in the gut and distending the large intestine?

    <p>Bulk-forming agents</p> Signup and view all the answers

    What is a potential adverse effect of bulk-forming agents?

    <p>Intestinal obstruction</p> Signup and view all the answers

    Which osmotic laxative may produce hypermagnesemia and hypernatremia in patients with renal failure?

    <p>Mg sulfate &amp; Na salts</p> Signup and view all the answers

    What is the onset of action for osmotic laxatives like Polyethylene glycol?

    <p>24-72 hours</p> Signup and view all the answers

    How do bulk-forming agents stimulate peristalsis?

    <p>By retaining water in the gut and distending the large intestine</p> Signup and view all the answers

    Which laxative type works by their osmotic effect to activate stretch receptors and stimulate peristalsis?

    <p>Osmotic laxatives</p> Signup and view all the answers

    Which of the following laxatives would be most appropriate for an infant or child?

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

    What is the laxative of choice for pregnant women?

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

    Which drug is most suitable for long-term use as a laxative?

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

    What is the drug of choice for Diabetic gastroparesis?

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

    Which antihypertensive drug would be contraindicated in a patient with insulin-dependent diabetes, IBS, and HTN?

    <p>Both A &amp; B</p> Signup and view all the answers

    When using lubricant laxatives, which of the following is NOT considered a lubricant laxative?

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

    Which laxative produces inflammation of the intestinal mucosa and inhibits Na+/K+ ATPase enzyme?

    <p>Castor oil</p> Signup and view all the answers

    What is the mechanism of action for Lubiprostone and Linaclotide?

    <p>Activating chloride channels</p> Signup and view all the answers

    Which laxative takes effect within 15—60 minutes after rectal administration?

    <p>Docusate sodium</p> Signup and view all the answers

    What is the approved use for Lubiprostone (Amitiza)?

    <p>Chronic idiopathic constipation and constipation-predominant IBS-C in adults</p> Signup and view all the answers

    What is the onset of action for stool softeners like Docusate sodium after oral administration?

    <p>12-72 hours</p> Signup and view all the answers

    Which laxative acts by easing the passage of stool through activating chloride channels?

    <p>Liquid paraffin</p> Signup and view all the answers

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