18 Questions
How do antacids primarily work in the context of mucosal cytoprotection?
By neutralizing acid
Why is a proton pump inhibitor considered more practical than antacids in the given context?
They do not interfere with Q-Tc interval
What is the role of endoscopy in diagnosing a duodenal ulcer in young patients with Helicobacter pylori antibodies?
Not necessary
Why are good double-contrast barium meals becoming less frequent compared to endoscopy?
Biopsies cannot be taken with them
Which macrolide is recommended to stick to until new evidence arises regarding H.pylori eradication regimens?
Clarithromycin
How does omeprazole's formulation as enteric-coated granules affect its absorption?
No effect on its absorption
What is the usual long-term treatment for patients who require long-term treatment for gastrointestinal disease?
H2-receptor antagonist or proton pump inhibitor
What is the effect of smoking on peptic ulcer disease and gastro-oesophageal reflux according to the text?
Impairs healing and worsens reflux
What is the cause of belching according to the text?
Swallowing air
Why do patients with reflux oesophagitis usually have a low lower oesophageal sphincter pressure?
Permanent event of reflux
What is the role of highly selective vagotomy in treating acid-related diseases according to the text?
Reduces acid output effectively
Why are gastric ulcers more common on the lesser curve according to the text?
Unknown definitive reason
What is the recommended treatment for mild reflux oesophagitis in young patients to prevent the development of Barrett’s oesophagitis?
Short-term proton pump inhibitors (PPIs)
How does Barrett’s oesophagus typically develop?
From chronic gastroesophageal reflux disease (GERD)
Is it safe to give a patient with reflux oesophagitis, who is on proton pump inhibitors (PPIs), aspirin in antiplatelet doses?
No, it is not safe
Does a combination of magnesium and aluminium hydroxide salts, used as antacids for reflux oesophagitis, have serious long-term adverse effects?
No, it does not have serious long-term adverse effects
In the treatment of reflux oesophagitis with a proton pump inhibitor (PPI), should the PPI be given for life or for a specific duration?
Short-term PPI treatment (4–8 weeks)
Is it recommended to treat asymptomatic endoscopically diagnosed reflux oesophagitis with acid suppression and/or antireflux measures?
No, it is not recommended
Test your knowledge on gastrointestinal diseases with this quiz! Explore topics like the role of the sympathetic nervous system, differences between salivary gland swelling and lymph node swelling, Barrett's esophagus development, and more.
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