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NABP Exam NAPLEX Topic 1 Question 20 Discussion

Actual exam question for NABP's North American Pharmacist Licensure Examination exam
Question #: 20
Topic #: 1
[All North American Pharmacist Licensure Examination Questions]

What indication usually requires higher dose of proton pump inhibitor?

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Suggested Answer: E

The diagnosis of Zollinger-Ellison syndrome is suggested when plasma gastrin is > 1000 pg/ml and the basal acid output is > 15 mEq/h or when associated with a pH < 2. The treatment is focused on controlling gastric acid hypersecretion and localisation of the tumour and its metastases. Proton pump inhibitors are the most effective antisecretory drugs and can be administered at high dosages


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