Proton Pump Inhibitors · Pharmacology

Patients on long-term PPI therapy may have a slightly increased risk of hip, wrist, and spine fractures due to decreased absorption of:

  1. Potassium
  2. Calcium carbonate
  3. Phosphorus
  4. Iron
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Correct answer: Calcium carbonate

Calcium carbonate requires an acidic environment for optimal dissolution and absorption. Long-term acid suppression may lead to decreased bone mineral density, although the clinical significance of this risk is debated.

Difficulty: Medium Question 13 of 20

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