Stomach and Duodenum Ulcer Treatment
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Questions and Answers

What is the primary goal of surgical treatment for gastric ulcers?

  • Repair the defective mucosal barrier
  • Reduce acid secretion at the nervous phase (correct)
  • Remove the ulcer crater
  • Eliminate H. pylori infection

What is the most common type of gastric ulcer?

  • Type II, associated with duodenal ulcer and hyperacidity
  • Type IV, associated with biliary reflux
  • Type I, located on the lesser curve and caused by a defective mucosal barrier (correct)
  • Type III, located prepyloric and associated with hyperacidity

What is the recommended treatment duration for H2 receptor blockers in peptic ulcer disease?

  • 4 weeks
  • 8 weeks
  • 2 weeks
  • 6 weeks (correct)

What is the primary mechanism of action of gastroprotective agents in gastric ulcers?

<p>Reducing gastric acidity (D)</p> Signup and view all the answers

What is the recommended treatment for H. pylori infection in peptic ulcer disease?

<p>Triple therapy for 2 weeks (D)</p> Signup and view all the answers

What is the typical clinical presentation of gastric ulcers?

<p>Pain associated with eating, leading to fear of eating (C)</p> Signup and view all the answers

What is the likely cause of hypovolemic shock in a patient with a dilated stomach?

<p>Fluid and air accumulation in the stomach (C)</p> Signup and view all the answers

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

<p>Alkalinity of the antrum and gastrin production (C)</p> Signup and view all the answers

Which of the following is NOT a treatment option for a peptic ulcer?

<p>Antibiotics (C)</p> Signup and view all the answers

What is a common complication of peptic ulcer disease?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following gastroprotective agents works by forming a protective barrier on the gastric mucosa?

<p>Sucralfate (C)</p> Signup and view all the answers

What is the primary goal of treatment in a patient with a bleeding duodenal ulcer?

<p>Correction of shock (B)</p> Signup and view all the answers

What is the most common location of small duodenal ulcers?

<p>Posterior wall of the duodenum (C)</p> Signup and view all the answers

What is the primary mechanism of action of PPIs in treating duodenal ulcers?

<p>Reducing gastric acidity (A)</p> Signup and view all the answers

What is a common complication of posterior duodenal ulcers?

<p>All of the above (D)</p> Signup and view all the answers

What is the characteristic of the edge of a duodenal ulcer?

<p>It is sloping and covered with granulation tissue (D)</p> Signup and view all the answers

What is the role of vagal tone in the development of duodenal ulcers?

<p>It increases gastrin production, leading to increased HCL production (A)</p> Signup and view all the answers

What is the association between Zollinger-Ellison syndrome and duodenal ulcers?

<p>It is a disease characterized by excessive gastrin production, leading to increased HCL production (C)</p> Signup and view all the answers

Flashcards

What is the primary goal of surgical treatment for gastric ulcers?

The main goal of surgical treatment for gastric ulcers is reducing the stomach's acid production during the nervous phase.

What is the most common type of gastric ulcer?

Type I gastric ulcers are the most common, located on the lesser curve of the stomach. They arise from a weakened mucosal barrier.

What is the recommended treatment duration for H2 receptor blockers in peptic ulcer disease?

H2 receptor blockers are usually given for 6 weeks to treat peptic ulcer disease.

What is the primary mechanism of action of gastroprotective agents in gastric ulcers?

Gastroprotective agents work by reducing acidity in the stomach, protecting the ulcer from further damage.

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What is the recommended treatment for H. pylori infection in peptic ulcer disease?

Triple therapy, a combination of antibiotics, is used for two weeks to treat H. pylori infection in peptic ulcer disease.

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What is the typical clinical presentation of gastric ulcers?

Pain associated with eating, leading to a fear of eating is a common symptom of gastric ulcers.

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What is the likely cause of hypovolemic shock in a patient with a dilated stomach?

Fluid and air accumulation in the stomach can lead to hypovolemic shock due to decreased blood volume.

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

Helicobacter pylori infection contributes to duodenal ulcer formation by creating an alkaline environment in the antrum and increasing gastrin production.

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Which of the following is NOT a treatment option for a peptic ulcer?

Antibiotics are used to target bacterial infections, not peptic ulcers. Treatment focuses on managing acid levels, protecting the lining, and eradicating H. pylori.

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What is a common complication of peptic ulcer disease?

Peptic ulcer disease can lead to various complications, including bleeding, perforation, and obstruction.

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Which of the following gastroprotective agents works by forming a protective barrier on the gastric mucosa?

Sucralfate forms a protective barrier on the gastric mucosa, shielding it from damaging acid.

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What is the primary goal of treatment in a patient with a bleeding duodenal ulcer?

The primary goal in treating a bleeding duodenal ulcer is to stabilize the patient and correct any shock caused by blood loss.

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What is the most common location of small duodenal ulcers?

Small duodenal ulcers most commonly occur on the posterior wall of the duodenum, the back side.

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What is the primary mechanism of action of PPIs in treating duodenal ulcers?

PPIs work by reducing gastric acidity, which is essential for healing duodenal ulcers.

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What is a common complication of posterior duodenal ulcers?

Posterior duodenal ulcers can lead to several complications, including bleeding, perforation, obstruction, and pancreatitis.

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What is the characteristic of the edge of a duodenal ulcer?

The edge of a duodenal ulcer is typically sloping and covered with granulation tissue, which is new, healing tissue.

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What is the role of vagal tone in the development of duodenal ulcers?

Vagal tone, the activity of the vagus nerve, increases gastrin production, leading to higher levels of hydrochloric acid (HCL) in the stomach, which contributes to ulcer formation.

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What is the association between Zollinger-Ellison syndrome and duodenal ulcers?

Zollinger-Ellison syndrome is a condition causing excessive gastrin production, resulting in high HCL levels and leading to duodenal ulcers.

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