18 Questions
What is the primary goal of surgical treatment for gastric ulcers?
Reduce acid secretion at the nervous phase
What is the most common type of gastric ulcer?
Type I, located on the lesser curve and caused by a defective mucosal barrier
What is the recommended treatment duration for H2 receptor blockers in peptic ulcer disease?
6 weeks
What is the primary mechanism of action of gastroprotective agents in gastric ulcers?
Reducing gastric acidity
What is the recommended treatment for H. pylori infection in peptic ulcer disease?
Triple therapy for 2 weeks
What is the typical clinical presentation of gastric ulcers?
Pain associated with eating, leading to fear of eating
What is the likely cause of hypovolemic shock in a patient with a dilated stomach?
Fluid and air accumulation in the stomach
What is the primary mechanism by which Helicobacter pylori infection contributes to duodenal ulcer formation?
Alkalinity of the antrum and gastrin production
Which of the following is NOT a treatment option for a peptic ulcer?
Antibiotics
What is a common complication of peptic ulcer disease?
All of the above
Which of the following gastroprotective agents works by forming a protective barrier on the gastric mucosa?
Sucralfate
What is the primary goal of treatment in a patient with a bleeding duodenal ulcer?
Correction of shock
What is the most common location of small duodenal ulcers?
Posterior wall of the duodenum
What is the primary mechanism of action of PPIs in treating duodenal ulcers?
Reducing gastric acidity
What is a common complication of posterior duodenal ulcers?
All of the above
What is the characteristic of the edge of a duodenal ulcer?
It is sloping and covered with granulation tissue
What is the role of vagal tone in the development of duodenal ulcers?
It increases gastrin production, leading to increased HCL production
What is the association between Zollinger-Ellison syndrome and duodenal ulcers?
It is a disease characterized by excessive gastrin production, leading to increased HCL production
This quiz covers the medical and surgical treatment options for stomach and duodenum ulcers, including the use of H2 receptor blockers and eradication of H pylori infection. It also touches on the indications for surgical treatment.
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