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Kaplan Qbank USMLE



Author3 Posts
  #1

A 29-year-old woman has been treated for gastroesophageal reflux disorder (GERD) for the past 3 months. Her symptoms of GERD are well controlled, but she says that she has been experiencing amenorrhea for 3 months and that she began to notice a white discharge from her breasts during the past month. Results of a pregnancy test are negative. Which drug would most likely account for the patient’s amenorrhea and breast discharge?


A. Cisapride
B. Metoclopramide
C. Omeprazole
D. Prochlorperazine
E. Ranitidine


___________________
He will make it happen.

  #2

B.

  #3

Side effects of metoclopramide:

Common adverse drug reactions (ADRs) associated with metoclopramide therapy include: restlessness, drowsiness, dizziness, and/or headache. Infrequent ADRs include: extrapyramidal effects (EPSE) such as oculogyric crisis, hypertension, hypotension, hyperprolactinaemia leading to galactorrhoea, diarrhoea, constipation, and/or depression. Rare but serious ADRs associated with metoclopramide therapy include: agranulocytosis, supraventricular tachycardia, hyperaldosteronism, neuroleptic malignant syndrome and/or tardive dyskinesia.[6]








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