أسئلة السادسة جراحة ثالثة الدلتا

Which of the following locations is LEAST likely to develop a peptic ulcer?

A patient with cerebral trauma develops a peptic ulcer. What type of ulcer is most likely?

Which characteristic is most indicative of an acute peptic ulcer?

What is the primary mechanism by which duodeno-gastric reflux contributes to gastric ulcer formation?

How does Helicobacter pylori contribute to the formation of peptic ulcers?

Which of the following is a characteristic of duodenal ulcers but NOT gastric ulcers?

A patient presents with a peptic ulcer. Endoscopy reveals an ulcer on the lesser curve of the stomach. What is a contributing factor to ulcer formation at this site?

A patient's ulcer base is described as deeply penetrating, reaching the serosa. What is the primary concern with this characteristic?

Which complication is more commonly associated with duodenal ulcers compared to gastric ulcers?

What is the most likely cause of pain that wakes a patient in the middle of the night (nocturnal pain)?

Which of the following is MOST suggestive of a peptic ulcer caused by Zollinger-Ellison Syndrome (ZES)?

What laboratory finding is most indicative of Zollinger-Ellison syndrome (ZES) as a cause of peptic ulcer disease?

What is the primary purpose of performing a biopsy during an upper GI endoscopy for a patient with a peptic ulcer?

A patient presents with symptoms suggestive of a peptic ulcer. The physician orders a barium meal. What is the MAIN reason for using this diagnostic method?

A patient is diagnosed with gastritis and a possible peptic ulcer. Which test would directly identify the presence of Helicobacter pylori in the ulcer?

What distinguishes a Cushing's ulcer from a Curling's ulcer?

How does smoking contribute to the development of gastric ulcers?

A patient presents with a peptic ulcer and a history of chronic cholecystitis. Which of the following ADDITIONAL conditions would complete Wilkie's Triad?

Which of the following characteristics is more typical of gastric ulcers compared to duodenal ulcers?

A 55-year-old male presents with epigastric pain that worsens soon after eating. Endoscopy reveals a gastric ulcer. Further evaluation reveals normal gastric acid production. Which of the following is the MOST likely underlying mechanism for this patient's ulcer?

A patient with a history of peptic ulcer disease presents with sudden, severe abdominal pain and signs of peritonitis. Which of the following is the MOST likely complication?

A patient with a duodenal ulcer is found to have pyloric stenosis. What is the primary mechanism leading to this complication?

Following an upper endoscopy and biopsy, a patient is diagnosed with a benign gastric ulcer. However, the gastroenterologist emphasizes the need for repeat endoscopy and biopsy after a course of treatment. What is the MOST important reason for this follow-up?

A patient presents with symptoms suggestive of a peptic ulcer, and the physician suspects Zollinger-Ellison syndrome (ZES). Besides measuring serum gastrin levels, which of the following tests would be MOST helpful in confirming the diagnosis?

In the context of peptic ulcer disease, what is the 'pointing sign'?

What is the underlying mechanism for the pain relief experienced after eating a meal in a patient with a duodenal ulcer?

A patient with chronic peptic ulcer disease develops a gastric outlet obstruction. Which of the following is the MOST likely cause of this obstruction:

In a patient presenting with upper gastrointestinal bleeding due to a peptic ulcer, which clinical sign would suggest a duodenal ulcer as the source of the bleeding rather than a gastric ulcer?

A patient presents with symptoms of peptic ulcer disease. The gastroenterologist suspects it might be related to excessive use of NSAIDs. By what primary mechanism do NSAIDs contribute to ulcer formation?

In the context of peptic ulcer disease, what is the primary reason for performing an emergency fiber-optic gastroscopy?

A patient presents with a history of chronic NSAID use and is suspected of having a drug-induced peptic ulcer. Which of the following best describes the initial prophylactic approach?

A patient undergoing treatment for a duodenal ulcer reports persistent symptoms despite adherence to a proton pump inhibitor regimen. Further investigation reveals multiple ulcers in the distal duodenum and proximal jejunum. Which of the following conditions is MOST likely?

What is the underlying mechanism by which Helicobacter pylori contributes to duodenal ulcer formation?

Which of the following is the MOST accurate description of the typical shape and appearance of a chronic peptic ulcer?

A patient presents with a gastric ulcer located on the lesser curvature of the stomach. Which of the following factors is MOST likely to contribute to ulcer formation at this specific site?

A patient with a long-standing duodenal ulcer develops persistent vomiting, leading to dehydration and electrolyte imbalance. What is the MOST likely underlying mechanism for this complication?

A patient with a known peptic ulcer presents with sudden, severe abdominal pain, board-like rigidity, and rebound tenderness. Which of the following is the MOST appropriate immediate next step in management?

In a patient with a duodenal ulcer, which of the following physiological mechanisms is primarily responsible for the nocturnal pain that often occurs?

What is the primary rationale for obtaining multiple biopsies (4-8 quadrants) from the edge of a gastric ulcer during an upper endoscopy?

A patient with a history of peptic ulcer disease presents with anemia. Lab results reveal iron deficiency. Which of the following is the MOST likely cause of the anemia in this patient?

In patients with peptic ulcer disease, what is the significance of the "pointing sign" during physical examination?

Which of the following best describes the rationale behind avoiding irritant foods, alcohol, smoking, and stress in the management of peptic ulcer disease?

A patient presents with epigastric pain relieved by eating. Endoscopy reveals a duodenal ulcer. What is the MOST likely mechanism for the pain relief associated with food consumption?

A patient is suspected of having Zollinger-Ellison syndrome (ZES). What serum gastrin level would be MOST suggestive of this diagnosis?

Which factor differentiates a Cushing's ulcer from a Curling's ulcer in the context of acute peptic ulcer development?

What is the MOST likely long-term consequence of chronic duodeno-gastric reflux in the development of gastric ulcers?

A patient presents with symptoms of a peptic ulcer, and the physician suspects H. pylori infection. Which of the following tests allows for simultaneous detection of the bacteria and assessment of antibiotic sensitivity?

While assessing a patient suspected of a peptic ulcer, which clinical finding would MOST strongly suggest a duodenal location over a gastric location?

A patient with chronic peptic ulcer disease develops a gastric outlet obstruction. Which of the following mechanisms MOST directly contributes to this obstruction?

According to the information provided, which of the following conditions constitutes Saint's triad?

Which of the following is the MOST critical factor in the pathogenesis of gastric ulcers associated with chronic ischaemia?

What is the PRIMARY action of urease, an enzyme produced by Helicobacter pylori, that contributes to gastric mucosal damage?

A patient is diagnosed with a gastric ulcer. The ulcer is located in the antral part of the stomach. Which pathological process is MOST likely to initiate ulcer development in this region?

A 30-year-old male presents with recurrent peptic ulcers despite eradication therapy for H. pylori. He has no history of NSAID use or smoking. Which of the following genetic predispositions would raise suspicion for Multiple Endocrine Neoplasia type 1 (MEN1) related Zollinger-Ellison syndrome?

A patient with a hx of peptic ulcer disease presents with epigastric pain that is exacerbated by eating but relieved with the use of antacids. Which clinical characteristic MOST strongly suggests that the ulcer is gastric rather than duodenal in origin?

A patient undergoing an endoscopy for a suspected peptic ulcer is found to have a large, deeply penetrating ulcer with significant surrounding inflammation. The gastroenterologist describes the surrounding mucosa as converging towards the ulcer. What specific characteristic of the ulcer is being described?