Peptic Ulcer: Mucosal Protection and Effects
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Questions and Answers

What protects the normal gastric and duodenal mucosa from the digestive actions of pepsin and acid?

  • Production of bile
  • Secretion of mucus (correct)
  • Rapid renewal and repair of epithelial cell injury
  • Removal of excess bile by normal blood flow

    • Which microorganism is associated with chronic gastritis and may lead to peptic ulcers?

  • Escherichia coli
  • Salmonella
  • Streptococcus
  • H. pylori (correct)

    • What is the main treatment goal for acid-related inflammation in peptic ulcers?

  • Neutralize gastric acid with antacids
  • Promote rapid renewal of epithelial cells
  • Increase gastric secretion acidity
  • Reduce gastric secretion acidity (correct)

    • Which symptom is not commonly associated with peptic ulcers?

    <p>Chest pain</p> Signup and view all the answers

    What is the potential complication of peptic ulcers that involves black stools from gastrointestinal bleeding?

    <p>Hemorrhage</p> Signup and view all the answers

    Which diagnostic method for peptic ulcers involves the classification of ulcer grade and stage, with stage 1 being the worst?

    <p>Endoscopy with biopsy</p> Signup and view all the answers

    What type of tissue is typically present in the histological analysis of peptic ulcers at the surface of the epithelial mucosa?

    <p>Inflammatory debris</p> Signup and view all the answers

    What is the classification system used to define the grade of ulceration in peptic ulcers, where stage 1 represents the worst prognosis?

    <p>Forrest Classification</p> Signup and view all the answers

    Which cell type is typically found within the histological analysis of peptic ulcers at the muscularis propria and submucosa?

    <p>Lymphocytes</p> Signup and view all the answers

    What is the most common sign of bleeding in the gastric and duodenum according to the Forrest Classification?

    <p>Adherent clot</p> Signup and view all the answers

    Which stage of the Forrest Classification indicates a flat spot in the ulcer crater?

    <p>IIc</p> Signup and view all the answers

    What is the purpose of selective vagotomy in surgical management of peptic ulcers?

    <p>Reduce acid secretion in the stomach</p> Signup and view all the answers

    Why is milk considered a misconception in the nutrition management of peptic ulcers?

    <p>It stimulates gastrin, acid, and pepsin secretion</p> Signup and view all the answers

    What effect does heavy alcohol consumption have on the stomach?

    <p>Increases acid production</p> Signup and view all the answers

    Which type of surgical procedure involves cutting part of the stomach or removing the stomach?

    <p>Partial/total gastrectomy</p> Signup and view all the answers

    What type of food is recommended for peptic ulcer patients to consume?

    <p>High quality diet with adequate fiber and probiotics</p> Signup and view all the answers

    Why should large meals be avoided before sleeping for peptic ulcer patients?

    <p>To increase latent increase in acid secretion</p> Signup and view all the answers

    'Caffeinated/Decaf stimulates acid secretion' is a misconception related to which food or beverage?

    <p>Coffee</p> Signup and view all the answers

    What therapeutic importance does pH of food have for peptic ulcer patients?

    <p>It has little therapeutic importance except for patients with existing oral lesions</p> Signup and view all the answers

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