INSTRUCTIONS Evidence-based recommendations for GERD treatment
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Evidence-based recommendations for GERD treatment
General Purpose: The purpose of this learning activity is to provide information about the diagnosis and management of GERD in adults. Learning Objectives: After reading this article and taking this test, the reader will be able to: 1. Identify the signs, symptoms, and causes of GERD. 2. List health problems associated with GERD. 3. Describe GERD treatment.
- The prevalence of GERD in the United States ranges as high as
- Co-occurring conditions associated with GERD include
- Crohn disease.
- ulcerative colitis.
- GERD is associated with the use of
- calcium antagonists.
- GERD is primarily due to
- increased gastric acid production.
- gastric acid pH less than 3.5.
- lower esophageal sphincter alterations.
- underactive parietal cells.
- Which of the following is most likely to cause GERD?
- hiatal hernia
- long abdominal length
- increased gastric emptying
- GERD is a major cause of
- iron malabsorption.
- Clostridium difficile-associated diarrhea.
- disrupted sleep.
- renal impairment.
- What percentage of people with chronic GERD have Barrett esophagus?
- Typical GERD symptoms include
- chest pain.
- globus sensation.
- Alarm symptoms of GERD include
- globus sensation.
- water brash.
- Which of the following is most likely to decrease GERD symptoms?
- carbonated beverages
- raising the head of bed 6 in (15.2 cm)
- tight abdominal support binder
- Dietary restrictions for GERD management include
- Which of the following medications is an acid suppressant?
- calcium carbonate
- H2 receptor antagonists should be taken
- an hour before eating.
- with the first bite of food.
- at the end of a meal.
- an hour after a meal.
- Cimetidine should be avoided in patients with
- fair skin.
- risk of falling.
- gastric ulcer.
- creatinine clearance over 50 mL/minute.
- Which of the following is the mainstay of GERD management?
- H2 receptor antagonists
- reflux inhibitors
- prokinetic agents
- Which statement about treatment with rabeprazole is accurate?
- Maximal effect occurs within 24 hours.
- Esophageal healing is equal to treatment with famotidine.
- Discontinuation should be gradual.
- Esophagogastroduodenoscopy should precede initiation.
- There is evidence that gastric acid suppression may lead to
- strong bones.
- Patients taking both clopidogrel and omeprazole may be at increased risk for
- Up to what percentage of people taking a PPI will still have reflux symptoms?