PPIs are weak bases activated by protonation in parietal cells

That's right! PPIs are weak bases, which become protonated in the acidic environment of the stomach, thus becoming active. This also results in the drugs becoming entrapped in parietal cells, which restricts their action locally.  

A few weeks later 

Mr. Mason has finished his H. pylori eradication regimen but continues to take the PPI to allow for ulcer healing.  

On Sunday morning, the Masons are getting ready to go to church. It is a cold, winter morning and it has been snowing for the best part of the night. Mr. Mason is walking to his car, when he slips on a patch of ice and falls on the staircase. In addition to his bruised ego, Mr. Mason is in a lot of pain and is clutching his arm. 

Mrs. Mason takes him to the hospital, where a humerus fracture is diagnosed. 

An adverse effect due to which drug could have contributed to Mr. Mason's fracture risk?



  • Amoxicillin
  • Bisoprolol
  • Lansoprazole
  • Metolazone
  • Ramipril

Map: Connor Mason_UNIC (1100)
Node: 20908
Score:

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  • Προτείνεις να χωριστούμε: ένας πωλητής, ένας ταμίας και ένας εθελοντής θα υποδέχεται τον κόσμο στην είσοδο.
  • Punnett square 6
  • Un extintor se utiliza cuando hay un incendio en el laboratorio. Usamos la manta ignífuga para apagar el fuego en una persona (PARAR, TIRARSE, RODAR)
  • Punnett square 5
  • Opțiunea 1
  • Usamos ambos para apagar el fuego en un objeto, no en una persona
  • Imaginea A este de la SEM, iar imaginea B este de la TEM
  • Platinum-based Cht
  • Ask the patient to take a clear photo of the wound (10–15 cm distance, adequate lighting) and upload it to the app
  • Peter je zaljubljen.
  • Παρατήρηση του νέου πειράματος μετά από τρεις ημέρες
  • Image A is from TEM and image B is from SEM
  • There is no connection between the current case and the one from 1989
  • Το ένα σε απόσταση περίπου 2 μέτρα από το άλλο.
  • Η πλάκα δεν επωάστηκε στη σωστή θερμοκρασία ή επίπεδο CO₂
  • PPIs are weak bases activated by protonation in parietal cells

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