Pharmacology · single question

What is the mechanism of action of omeprazole?

  1. Proton pump inhibitor
  2. Prostaglandin analog
  3. Antacid (neutralizes acid)
  4. H2 receptor antagonist
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Correct answer: A. Proton pump inhibitor

Omeprazole irreversibly blocks the H+/K+ ATPase ('proton pump') in gastric parietal cells, which is the final common step of acid secretion — making it a proton pump inhibitor (PPI), distinct from H2-receptor antagonists (like famotidine) or other classes.
  • A. ✅ CORRECT – Omeprazole is a PPI; irreversibly inhibits the gastric proton pump.
  • B. ❌ Prostaglandin analogs (misoprostol) protect gastric mucosa; not PPIs.
  • C. ❌ Antacids neutralize existing acid; omeprazole prevents its production.
  • D. ❌ H2 receptor antagonists (ranitidine) block histamine receptors; omeprazole works at the pump.

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