Naplex Reviews

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Question :A 37-year-old executive returns to your clinic for follow-up of recurrent upper
abdominal pain. He initially presented 3 weeks ago, complaining of an increase
in frequency and severity of burning epigastric pain, which he has experienced
occasionally for more than 2 years. Now the pain occurs three or four times per
week, usually when he has an empty stomach, and it often awakens him at night.
The pain usually is relieved within minutes by food or over-the-counter antacids,
but then recurs within 2 to 3 hours. He admitted that stress at work had recently
increased and that because of long working hours, he was drinking more caffeine
and eating a lot of take-out foods. His medical history and review of systems were
otherwise unremarkable, and, other than the antacids, he takes no medications.
His physical examination was normal, including stool guaiac that was negative
for occult blood. You advised a change in diet and started him on a proton pump
inhibitor. His symptoms resolved completely with the diet changes and daily use
of the medication. Results of laboratory tests performed at his first visit show no
anemia, but his serum Helicobacter pylori antibody test was positive.
» What is your diagnosis?
» What is your next step?

Qtn of the day
A 62-year-old female with diabetes presents to her primary care physician for follow-up. She takes pioglitazone daily and her blood sugar ranges approximately from 100 to 180 mg/dL. Which of the following indicators would likely have minimal or no change from baseline values with this therapy?
A. Glucose
B. Hemoglobin A1c
C. Insulin
D. Low density lip protein
E. Triglycerides

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If you receive a prescription which reads 20ml t.I.d X5/7 and the medicine us packaged as 60ml, 150ml, 250ml and 300ml. Which will be the most appropriate to dispense?
A. 60ml
B. 150ml
C. 250ml
D. 300ml
E. None of the above

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