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Mastering Acid-Related Medications
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Mastering Acid-Related Medications

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@ProgressiveTropicalRainforest

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Questions and Answers

Which of the following antacids may cause constipation?

  • Magnesium-containing antacids
  • Calcium carbonate-containing antacids
  • Aluminum-containing antacids (correct)
  • Sodium bicarbonate-containing antacids
  • Which of the following antacids can cause hypercalcemia and milk-alkali syndrome?

  • Aluminum-containing antacids
  • Calcium carbonate-containing antacids (correct)
  • Magnesium-containing antacids
  • Sodium bicarbonate-containing antacids
  • Which of the following is not one of the four H2RAs approved in the US?

  • Omeprazole (correct)
  • Famotidine
  • Ranitidine
  • Cimetidine
  • Which of the following is true about H2RAs?

    <p>They inhibit both basal and stimulated gastric acid secretion in a sustained fashion.</p> Signup and view all the answers

    Which of the following is not a side effect of magnesium-containing antacids?

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

    Which of the following antacids has a short duration of action?

    <p>Sodium bicarbonate-containing antacids</p> Signup and view all the answers

    Which of the following is not true about PPIs?

    <p>They are absorbed in the stomach and taken to the acidic secretory canaliculus of the parietal cell for protonation to the active form.</p> Signup and view all the answers

    Which of the following is a potential side effect of high doses of calcium carbonate in antacids?

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

    Which of the following antacids may cause osmotic diarrhea?

    <p>Magnesium-containing antacids</p> Signup and view all the answers

    Study Notes

    • Antacids neutralize gastric acid and elevate intragastric pH, but have short duration of action.
    • Magnesium-containing antacids may cause osmotic diarrhea and aluminum-containing antacids may cause constipation.
    • High doses of calcium carbonate in antacids can cause hypercalcemia and milk-alkali syndrome.
    • H2-receptor antagonists competitively inhibit histamine action, reducing gastric acid secretion.
    • The four H2RAs approved in the US are cimetidine, ranitidine, famotidine, and nizatidine.
    • H2RAs are safe with low frequency of severe adverse effects.
    • PPIs irreversibly bind to the proton pump and are the most potent inhibitors of gastric acid secretion.
    • PPIs inhibit both basal and stimulated gastric acid secretion in a sustained fashion.
    • PPIs are prodrugs that require an acidic environment for conversion to the active sulfonamide.
    • PPIs are absorbed in the small intestine and taken to the acidic secretory canaliculus of the parietal cell for protonation to the active form.

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    Description

    Test your knowledge on antacids, H2-receptor antagonists, and proton pump inhibitors with this informative quiz! Learn about the mechanisms of action, potential side effects, and safety profiles of these common medications used to treat acid-related disorders. Sharpen your understanding of hypercalcemia, milk-alkali syndrome, and the four H2RAs approved in the US. Challenge yourself to identify the prodrugs that require an acidic environment for conversion to the active sulfonamide and the medications

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