CAPP IV Constipation and Diarrhea Test Questions

AB is a 30-year-old female who presents with complaints of constipation. Her

symptoms started two days ago and she has not tried anything yet. She is
very uncomfortable and is looking for the quickest relief possible. She is
willing to try anything. What would be the best option for AB?
a. Glycerin suppository
b. Magnesium citrate
c. Polyethylene glycol
d. Bisacodyl tablets
JJ is a 60 year old male who comes to the pharmacy with a new prescription
for oxycodone 5 mg tablets po q 4 to 6 hours for management of his
severe chronic pain. His doctor told him to pick up something over the
counter to prevent constipation while using this new medication. What
would you recommend for this patient?
a. Mineral oil and docusate
b. Magnesium citrate and senna
c. Bisacodyl and polyethylene glycol
d. Docusate and senna
A 29 year old female calls the pharmacy asking about over the counter
treatment for diarrhea. She has had 4 watery, loose stools today, but denies
any blood, mucus, or pus on the stool. She has not traveled recently and
does not have a fever. She is looking for something that will provide quick
relief because she has two kids and is pregnant with a third. Which of the
following is the best option for this patient?
a. Loperamide 4 mg po initially, followed by 2 mg po for each subsequent
loose stool
b. Loperimide 8 mg po as one dose for quick relief
c. Bismuth subsalicylate 524 mg po every 30 to 60 minutes until relieved
d. None of the abovemedical referral is indicated
JH is a 62 year old man who has had diarrhea for the past 3 days. His wife
has come to the pharmacy today and would like some guidance on oral
replacement solution. In order to give her appropriate guidance, you
need to assess the patients hydration status. After questioning his wife,
his BP is 90/48 and pulse 104. Mucous membranes appear dry.
Extremities are cold to the touch. She also says that he seems lethargic
and not moving around much. She is also having a difficult time getting
him to drink. What degree of dehydration would you classify JH as?
a. Severe dehydration
b. Moderate dehydration
c. Mild dehydration
d. No dehydration

Which of the following oral replacement solutions is the best choice for this
patient?
A. Pedialyte
B. WHO-ORS
C. Gatorade
D. None of the aboveMedical referral is necessary
Which of the following constipation treatments stimulates action that most
closely mimics the natural physiological processes in the gastrointestinal
tract, but should be avoided in patients with difficulty swallowing?
a. Psyllium
b. Docusate
c. Bisacodyl
d. Polyethylene glycol
PC is a 57 year old male who approaches you for help regarding constipation.
Upon asking about his symptoms, he says that he has been constipated for
two days, his stools are hard and small, he denies nausea and vomiting, and
reports some blood in the stool. What is the most appropriate
recommendation for this patient?
a. Magnesium hydroxide
b. Bisacodyl suppository
c. Psyllium
d. Refer to a physician
A 40 year old female is asking for advice on how to treat her constipation.
She has been constipated for 5 days. She states that she has type 2 diabetes
mellitus and uses Lantus insulin 10 units subcutaneously every night at
bedtime. She denies any drug allergies. She states that she tried bisacodyl 5
mg tablets two days ago, but has still not had a bowel movement. Which of
the following would you recommend for this patient?
a. Discontinue Lantus because it is worsening her constipation
b. Refer to a physician for further follow up
c. Recommend a bisacodyl suppository instead because they are more
effective
d. Advise the patient to increase water and fiber intake
Which of the following products can cause lipoid pneumonia?
a. Mineral oil
b. Castor oil
c. Docusate liquid
d. Polyethylene glycol

A mother is asking about treating her 5 year old sons diarrhea. She has not
tried anything at this time. Her son has had a fever of 101.1 degrees F for
the past 12 hours and has had 4 loose and watery stools today. He is irritable
and thirsty.
What
a.
b.
c.
d.

degree of dehydration would you classify this patient as?

Not dehydrated
Minimally dehydrated
Mild to moderately dehydrated
Severely dehydrated

What
a.
b.
c.
d.

is the best oral replacement solution option for this patient?

Pedialyte
Chicken broth
Clear soda
Gatorade

Which of the following treatment options is appropriate for this patient?

a. ORS and bismuth subsalicylate
b. ORS and loperamide
c. ORS only
d. None of the aboveMedical referral is necessary