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EE Chapter 78 GERD, Ulcers, Inflammatory Bowel Disease (IBD) and Irritable Bowel Syndrome (IBS) Q&A (1 OF 95) Sample Questions

1. A patient is currently using Ranitidine 75 mg on needed basis. Now, he brings a prescription of Naproxen 500mg 2x a day. What would you do?

A. Tell patient to stop Ranitidine and start Naproxen.
B. Tell patient to take them together, Ranitine and Naproxen.
C. Tell patient that he needs to talk to the doctor because of GI risk.
D. Tell the patient to take Acetaminophen instead.

Answer

Ans: C

Strategic thinking:
1. Read the question. You are asked of an appropriate action.
2. Look for cues and keywords or key phrases. Cue here is currently using Ranitidine 75 mg on needed basis. Key phrase, brings a prescription of Naproxen 500mg 2x a day. The H2-blocker is not used on a regular basis which indicates that the patient may only experience discomfort when/if triggered. From here, remember that one of the risk factor of ulcer is use of NSAIDs and the patient’s new medication is Naproxen. So at this point, the best thing to do is send the patient back to the doctor.
3. Thus, the correct answer is C.

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