Peptic Ulcer: Mucosal Protection and Effects

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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?

Chest pain Signup and view all the answers

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

Hemorrhage 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?

Endoscopy with biopsy 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?

Inflammatory debris 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?

Forrest Classification 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?

Lymphocytes Signup and view all the answers

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

Adherent clot Signup and view all the answers

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

IIc Signup and view all the answers

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

Reduce acid secretion in the stomach Signup and view all the answers

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

It stimulates gastrin, acid, and pepsin secretion Signup and view all the answers

What effect does heavy alcohol consumption have on the stomach?

Increases acid production Signup and view all the answers

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

Partial/total gastrectomy Signup and view all the answers

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

High quality diet with adequate fiber and probiotics Signup and view all the answers

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

To increase latent increase in acid secretion Signup and view all the answers

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

Coffee Signup and view all the answers

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

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