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Pharmacokinetics and Uses of H2 Antagonists and Proton Pump Inhibitors
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Pharmacokinetics and Uses of H2 Antagonists and Proton Pump Inhibitors

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Questions and Answers

Which of the following conditions can be treated with H2 antagonists?

  • Stress ulcer (correct)
  • Anemia
  • Migraine
  • Pancreatitis
  • What is a common adverse effect of Proton Pump Inhibitors (PPIs)?

  • Increased appetite
  • Headache (correct)
  • Hair growth
  • Weight loss
  • How do Proton Pump Inhibitors (PPIs) act on parietal cells?

  • They enhance the release of bicarbonate
  • They inhibit the secretion of pepsin
  • They increase the production of HCL
  • They irreversibly inactivate the H+/K+ATPase pump (correct)
  • Which of the following conditions is NOT listed as a use for H2 antagonists?

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

    What is the intermediate compound formed in acid media that effectively inhibits the H+ / K+ ATPase?

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

    Why are oral formulations of these drugs enteric coated?

    <p>To prevent acid inactivation in the stomach</p> Signup and view all the answers

    Which adverse effect is commonly associated with prolonged administration of Proton Pump Inhibitors (PPIs)?

    <p>Vitamin B12 deficiency</p> Signup and view all the answers

    What is a potential consequence of prolonged acid suppression by PPIs in relation to bacterial growth?

    <p>Bacterial overgrowth in smooth muscles</p> Signup and view all the answers

    What is the primary physiological factor that prevents the mucosa described in the text?

    <p>Ability to secrete mucus</p> Signup and view all the answers

    Which of the following pathways does histamine act through for gastric acid secretion control?

    <p>Local release of histamine</p> Signup and view all the answers

    Which drug classification includes Omeprazole and Pantoprazole among its members?

    <p>Proton pump inhibitors</p> Signup and view all the answers

    What is the primary mechanism of action of Sucralfate and Colloidal Bismuth Sulfate (CBS) as ulcer protectives?

    <p>Protect the mucosa from further damage</p> Signup and view all the answers

    What is the primary mechanism of action of Proton Pump Inhibitors (PPIs)?

    <p>Irreversibly inactivate the parietal cell H+/K+ ATPase</p> Signup and view all the answers

    Which of the following is a common adverse effect associated with Proton Pump Inhibitors (PPIs)?

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

    What is a characteristic of the pharmacokinetics of Proton Pump Inhibitors (PPIs)?

    <p>Reach milk and cross the placental barrier</p> Signup and view all the answers

    Which of the following actions best describes how Proton Pump Inhibitors (PPIs) work within the parietal cell canaliculi?

    <p>Inactivate H+/K+ ATPase irreversibly</p> Signup and view all the answers

    Which Proton Pump Inhibitor (PPI) is claimed to have the most rapid onset of action?

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

    What is a potential consequence of Omeprazole inhibiting the metabolism of certain drugs?

    <p>Increased risk of drug toxicity</p> Signup and view all the answers

    Which Proton Pump Inhibitor (PPI) has a higher bioavailability and better intra-gastric pH among the listed options?

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

    What distinguishes Lansoprazole among the Proton Pump Inhibitors (PPIs) in terms of potency?

    <p>More potent</p> Signup and view all the answers

    What is the reason for the action of Proton Pump Inhibitors (PPIs) lasting 3-4 days even after stopping the drug?

    <p>Interactions with cysteine residues</p> Signup and view all the answers

    Why are oral formulations of Proton Pump Inhibitors (PPIs) enteric coated?

    <p>To prevent acid inactivation in the stomach</p> Signup and view all the answers

    Which adverse effect is commonly associated with Prolonged administration of Proton Pump Inhibitors (PPIs)?

    <p>Atrophic changes in the stomach</p> Signup and view all the answers

    How do Proton Pump Inhibitors (PPIs) interact with the H+ / K+ ATPase to inhibit its activity?

    <p>Covalently interacting with cysteine residues</p> Signup and view all the answers

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