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Chapter 35 Minor Ailments Gastrointestinal Conditions Sample Questions

1. DJ, a 25 year old woman who is a regular customer at your pharmacy is complaining of a burning feeling somewhere between the stomach and lower chest rising up to the neck accompanied by epigastric pain and nausea. These symptoms have been occurring almost once every 2 to 3 days for the past 2 weeks but not persistent. DJ typically experiences the heartburn symptoms 1-2 hours after eating lunch which are severe enough that cause her to vomit with acidic reflux. What is appropriate?

A. Offer non-pharm advice +/- H2RA or antacids, or alginates.
B. Refer to physician to get proton pump inhibitor (PPI) prescription.
C. Refer to physician for further investigation.
D. Recommend Proton Pump Inhibitor (PPI), or H2RA or prokinetic agents.

Answer

Ans: A

Tips: Patient has mild episodic heartburn, GERD symptoms do not interfere with daily activities and usually low intensity, short in duration, not nocturnal, infrequent (<3 times/week) and without major complications. So patient can be typically treated by OTC antacids, H2RAs or PPI.

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