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NBME 24 Answers

nbme24/Block 1/Question#41 (12.3 difficulty score)
A 32-year-old woman who is 20 weeks' pregnant ...

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 +5  upvote downvote
submitted by m-ice(272),
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usmile1  perfect except it is a PGE1 analog, not 2 +2  
krewfoo99  PGE2 will increase uterine tone (Pg. 270 FA 2018) +  
drmohandes  Misoprostol prevents NSAID-induced peptic ulcers. Side-effect: also gets rid of baby. +  

 +2  upvote downvote
submitted by madojo(122),

Going through other answer choices:

Bismuth and Sucralfate is used for ulcer healing or travelers diarrhea, it provides physical protection by binding to the ucler base and allows bicarb secretion to establish pH gradient in mucous layer.

FamotiDINE is a H2 receptor blocker

Omeprazole is a PPI and increases risk of C diff infxn, and decreases Mg and Ca absorption (can cause fx in elderly)