Peptic Ulcer Disease Exam Questions With 100% Correct Answers

Peptic Ulcer Disease Exam Questions With 100% Correct Answers peptic ulcer disease - answer-cellular destruction -loss of mucosa -duodenal and gastric ulcers hospitalizations - answer-gastric ulcers worse than duodenal due to increased NSAID use and aging population -increasing mortality in women aggressive factors in peptic ulcers - answer-acid -pepsin -gastrin -bile acid defensive factors in peptic ulcers - answer-mucosal blood flow -bicarbonate -cellular regeneration -prostaglandins drug induced GI injury etiology - answer-gastricduodenal -NSAIDS, steroids, chemo infectious agents etiology - answer-duodenalgastric -h pylori, CMV risk factors - answer-cigarette smoking -alcohol -caffeine -spicy food -stress clinical presentation - answer-epigastric pain, may radiate to back -bleeding -decreased BP, HR, Hgb, Hct -heartburn, bloating, belching other diagnoses - answer-non ulcer dyspepsia -gastritis -hiatal hernia -GERD -zollinger ellison syndrome -SRMD gastric carcinoma diagnostic tests - answer-upper GI radiography -EGD -histology (GOLD STANDARD) -culture -urease biopsy Hpylori tests - answerurea breath test -confirms h pylori eradication serology -quantitates IgG or IgA antibodies ot HP h pylori chronic complications - answer-GI bleeding most common -perforation (life threatening) -gastric outlet obstruction from scarring -gastric cancer characteristics of H pylori - answer-gram negative -needs ph above 4 to survive -class 1 carcinogen h pylori routes of transmission - answer-oral oral