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Chapter 43 Minor Ailment, Assessment, Gastrointestinal Conditions Q&A (1 of 39) Sample Questions

1. A customer comes to the pharmacy complaining of a burning feeling somewhere between the stomach and lower chest rising up to the neck with epigastric pain and nausea. These symptoms have been occurring almost once every 2 to 3 days for the past 2 weeks but not persistent. After eating lunch, she would feel severe heartburn and vomit 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: If mild and infrequent symptoms remain after 14 days or incompletely relieved refer to physician
Q.MILD: 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.

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