Scenario #A: Hugh Marshall is a 71 year old man who has been taking ibuprofen (Motrin) for a shoulder injury and assumed

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Scenario #A:
Hugh Marshall is a 71 year old man who has been taking ibuprofen
(Motrin) for a shoulder injury and assumed that this was the cause
of his stomach pain. He is a one-pack-per-day smoker and
drinks one glass of wine every night with dinner. His medical
history includes HTN for which he takes a combination diuretic and
angiotensin-converting enzyme (ACE) inhibitor. He stopped
taking his ibuprofen but the stomach pain did not subside.
Because of worsening symptoms, an endoscopy was performed,
which confirmed the presence of H. pylori. He is worried
about taking antibiotics because he has been allergic to penicillin
in the past.
This activity contains 3 questions:
Kerry O'Grady is a 20 year old college sophomore studying to be
a middle-school teacher. She was diagnosed with IBS at the
end of her freshman year after enduring multiple bouts of abdominal
cramping, diarrhea, constipation, gas and bloating. She thought it
was just the stress of her first year of college because her
symptoms eased over the summer break. Now it has returned and
the diarrhea occurs more often than constipation. Some days
she finds that she is unable to sit through an entire class without
having to leave for the restroom. She is increasingly worried
about her grades and she is sure that the stress is not helping her
condition either.
The nurse practitioner in the Student Health Services office has
prescribed several weeks of dycyclomine (Bentyl) to be followed by
loperamide (Imodium) after the diarrhea has slowed from the
dicyclomine.
This activity contains 3 questions.