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

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

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

    What is a common complication of peptic ulcer disease?

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

    What is the most common location of small duodenal ulcers?

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

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

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

    What is a common complication of posterior duodenal ulcers?

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

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