Management of Constipation: Physical Purgatives I
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Questions and Answers

Which type of purgative retains water in the bowel and stimulates peristalsis by releasing cholecystokinin?

  • Lubricant purgatives
  • Bulk forming purgatives
  • Saline purgatives
  • Non-absorbable osmotic salts (correct)

Which condition can be managed using lactulose as an osmotic laxative?

  • Constipation (correct)
  • Acid reflux
  • Diarrhea
  • Gastric ulcers

What is the main mechanism of action of lactulose as an osmotic laxative?

  • Increases gastric acid secretion
  • Retains water in the bowel
  • Forms soft stool by reducing pH of the colon (correct)
  • Stimulates bile production

What is the main disadvantage of using liquid paraffin (paraffin oil) as a lubricant purgative?

<p>Can cause leakage from the anal sphincter (A)</p> Signup and view all the answers

How do non-absorbable osmotic salts act as purgatives?

<p>By retaining water in the bowel (A)</p> Signup and view all the answers

Which substance is formed by lactulose when split by colon bacteria, leading to a reduction in pH of the colon?

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

What is the primary purpose of using bulk forming purgatives?

<p>To add bulk to the stool (B)</p> Signup and view all the answers

What is the primary use of saline purgatives such as magnesium sulfate (Epsom's salt)?

<p>Retaining water in the bowel (D)</p> Signup and view all the answers

Which outcome is associated with a reduction in pH of the colon due to lactulose administration?

<p>Decreased formation of ammonia (D)</p> Signup and view all the answers

What is one of the disadvantages of using liquid paraffin (paraffin oil) as a lubricant purgative?

<p>Decreases absorption of fat-soluble vitamins (D)</p> Signup and view all the answers

Which of the following is NOT a primary use of lactulose as an osmotic laxative?

<p>Prevention of lipid pneumonia (C)</p> Signup and view all the answers

What is the main disadvantage of using magnesium sulfate (Epsom's salt) as a saline purgative?

<p>None of the above (D)</p> Signup and view all the answers

Which substance is formed by lactulose when split by colon bacteria, leading to a reduction in pH of the colon?

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

How does liquid paraffin (paraffin oil) act as a lubricant purgative?

<p>Softens and lubricates hard fecal mass and mucosa of the large intestine (D)</p> Signup and view all the answers

What is the primary mechanism of action of non-absorbable osmotic salts as purgatives?

<p>Retaining water in the bowel (D)</p> Signup and view all the answers

In which condition is lactulose commonly used as an osmotic laxative?

<p>Hepatic encephalopathy (Hepatic coma) (B)</p> Signup and view all the answers

What outcome is associated with a reduction in pH of the colon due to lactulose administration?

<p>Decreased production of ammonia (B)</p> Signup and view all the answers

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