Pharmacology
Question
This question has been answered by 21 people and has an average rating of 3.83 (based on 18 ratings)
A 35 year old male patient recently has arrived in the ER with complaints of pain radiating between his navel and breastbone along with black tarry stools. The patient had recently lost his job 6 months prior and has been a heavy smoker for the last 15 years. Through an endoscopy, the doctor finds that the patient has a stress and smoker induced duodenal ulcer. A rapid urease test was done to rule out an H.Pylori infection. What medication DOES NOT need to be prescribed to the patient for treatment and healing of his duodenal ulcer?
Alternatives
| Option | Alternative | First answers  |
Confirmed answers  |
|---|---|---|---|
| A |
Mylanta (Antacids) |
3 (14.29%) |
0 (0.00%) |
| B |
Omeprazole (Proton Pump Inhibitors (PPIs)) |
1 (4.76%) |
0 (0.00%) |
| C |
Misoprostol (Synthetic Prostaglandin E) |
4 (19.05%) |
0 (0.00%) |
| D |
Amoxicillin (Antimicrobrials) |
13 (61.90%) |
8 (100.00%) |
| E |
Ranitidine (Histamine H2 Receptor Antagonists (H2RAs)) |
0 (0.00%) |
0 (0.00%) |
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A - antacids are prescribed to relieve abdominal discomfort. they neutralize gastric acid and decrease pepsin production in the stomach. they are usually not sufficent to heal a peptic ulcer as a single therapy but are used to relieve abdominal discomfort. this drug would be beneficial to the patient.
B - PPIs are prescribed because they are strong inhibitors of gastric acid secretion, they provide faster symptom relief and faster healing rates for peptic ulcers. this drug would be beneficial to the patient.
C - misoprostol inhibits gastric acid secretion. increases mucous and bicarbonate decretion, and enhances mucosal blood flow and repair. this would be beneficial to ulcer healing for the patient.
D - antimicrobrials are prescribed to eradicate H pylori infections, since the h pylori infection was ruled out for the patient, there is no need for antimicrobrials.
E - H2RAs can be prescribed to block histamine H2 receptors. they act as a partial agonist at gastrin and acetylcholine receptors to reduce pain associated with peptic ulcers, promote healing of the ulcer, and reduce the risk of ulcer reoccurrence. This drug would be beneficial to the patient.