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Pharmacotherapeutic Management Quiz

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Questions and Answers

What is the primary goal when treating constipation in chronically ill, terminally ill, and elderly patients?

To provide symptom relief (correct)

To minimize the use of pharmacological interventions

To cure the constipation completely

To improve bowel function long-term

Which class of laxatives are described as having limited effectiveness in the text?

Osmotic laxatives

Stimulant laxatives (correct)

Bulk-forming laxatives

Lubricant laxatives

What is the recommended approach for starting pharmacotherapeutic management of constipation?

Start with the lowest possible dose of a well-tolerated medication (correct)

Start with a combination of multiple medications

Start with the most potent medication available

Start with the highest possible dose of medication

What is the purpose of monitoring the patient during pharmacotherapeutic management of constipation?

To ensure the medication is working as expected and to look for adverse effects (B) Signup and view all the answers

What is the recommended approach if one class of medication is ineffective after an adequate trial?

Stop the medication and try an alternative (B) Signup and view all the answers

What is the primary purpose of using high doses of PEG according to the text?

To cleanse the bowel in preparation for a procedure (D) Signup and view all the answers

What is the primary mechanism of action of the agents mentioned in the text that increase secretion and peristalsis from the colon?

They inhibit the absorption of water and electrolytes in the colon, leading to increased water content in the stool. (C) Signup and view all the answers

What is the primary goal of 'step one and two therapies' for treating constipation?

To soften stools and prevent water absorption, making them easier to pass. (D) Signup and view all the answers

The text mentions that dietary fiber supplements, such as ispaghula husk and sterculia, can have a positive effect on constipation. However, what is one potential downside of these treatments?

They can exacerbate symptoms of bloating and flatulence. (A) Signup and view all the answers

Which of the following patients may be more suitable for high-dose macrogols or invasive treatments like colectomy?

Patients with slow transit constipation who have not responded well to pharmacological therapy. (C) Signup and view all the answers

The text discusses the importance of an individualized approach to treating constipation. Which of the following factors does it suggest should be considered when selecting the appropriate treatment?

The patient's age, symptoms, severity of constipation, and treatment response. (C) Signup and view all the answers

What is the recommended first-line approach for most patients with constipation, especially those with mild symptoms?

Dietary and lifestyle changes, such as increasing fiber intake. (D) Signup and view all the answers