A 37-year-old man complains of chest pain after meals. He says this pain has gone on for a few months and gets only minimal relief from antacid tablets. The physician prescribes a drug that will decrease the amount of acid secreted by binding to and inhibiting an ATPase on the lumenal surface of parietal cells. Which of the following drugs works by this mechanism?

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Question 1 of 5

A 37-year-old man complains of chest pain after meals. He says this pain has gone on for a few months and gets only minimal relief from antacid tablets. The physician prescribes a drug that will decrease the amount of acid secreted by binding to and inhibiting an ATPase on the lumenal surface of parietal cells. Which of the following drugs works by this mechanism?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A 43-year-old woman with recurrent urinary tract infections who is usually sensitive to ciprofloxacin now has three consecutive UTIs in a 4-month period. Each time, the culture and sensitivity reveal resistance to ciprofloxacin. What is the most likely source of resistance?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A 16-year-old boy with cystic fibrosis undergoes many types of treatments intended to loosen and thin the mucus obstructing his airways in order for him to expel it. He also takes an oral pancreatic enzyme because his pancreas is unable to secrete sufficient amounts because of mucus obstruction. Which of the following medications thins cystic fibrosis mucus by cleaving extracellular DNA?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A 34-year-old construction worker injured his right leg while on the job. His medical history includes poorly controlled Type-2 diabetes mellitus. He now presents with cellulitis in his right leg, for which he is given empiric IV vancomycin. He also complains of nausea, for which he is given an antiemetic. Which of the following antiemetics is also an antihistamine?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A 75-year-old man with a 40-pack-year history of smoking and known chronic obstructive pulmonary disease complains of intermittent cough. Physical examination reveals wheezing, which is suggestive of bronchospasm. Which of the following is the most appropriate treatment for this patient?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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