Gastric Pathogenesis Quiz: CD4+ T cells and Pernicious Anemia

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15 Questions

What are the possible routes of transmission for the microbe causing chronic gastritis and peptic ulcers?

Oral-oral, fecal-oral, environmental

Which virulence factor of the microbe plays a role in its ability to survive in the gastric environment?

Motility via flagella

Which type of inflammatory cells are typically found in the lamina propria in chronic gastritis?

Neutrophils

What is the pattern of gastritis associated with duodenal ulcers?

Antral with high acid production

What is the main risk factor for adenocarcinoma in patients with chronic gastritis?

Intestinal metaplasia

What is a potential cause of acute gastritis based on the provided information?

Increased acid secretion

Which factor is NOT associated with the pathogenesis of acute gastritis?

Increased bicarbonate secretion

What may frequently accompany acute gastritis according to the text?

Peptic ulcer disease

Which of the following is NOT a potential cause of acute gastritis based on the text?

Enhanced blood flow

What is a possible consequence of direct epithelial damage in acute gastritis?

Disruption of adherent mucus layer

What is the pathogenesis of pernicious anemia in autoimmune gastritis?

Intrinsic factor deficiency due to hyperplasia of antral gastrin-producing G cells

Which cell type is primarily targeted by CD4+ T cells in autoimmune gastritis?

Parietal cells

What is a characteristic endoscopic feature of autoimmune gastritis?

Coarser rugae than normal in the affected regions

Which condition is associated with hypergastrinemia as a consequence of autoimmune gastritis?

Peptic ulcer disease

In autoimmune gastritis, what happens due to the lack of intrinsic factor?

Onset of pernicious anemia

Test your knowledge on the pathogenesis of gastric diseases involving CD4+ T cells attacking parietal cells, resulting in lack of gastric acid release and hypergastrinemia. Explore the development of pernicious anemia due to intrinsic factor deficiency. Identify endoscopic features of affected mucosa.

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