PEPTIC ULCER DISEASE EXAM QUESTIONS AND
ANSWERS
Peptic Ulcer - ANSWER an excavated lesion of the mucosal wall of the
esophagus, stomach, phylorus, or duodenum
Peptic Ulcer Disease (PUD) - ANSWER Results when gastric mocosal
defenses become impaired and longer protect the epithelium from the effects of
acid and pepsin
Complications of Ulcers - ANSWER Hemorrhage- Upper GI Bleed, vomiting
like coffee ground or bright blood, Stool tarry black, old blood Upper GI, Bright
blood in stools Lower GI
Perforation- break in the skin tissue, crack or fissure. Stomach content going
into abdominal cavitity, can lead to Perionitis. Hard distended abdomen. Bowel
sounds are hypoactive. Sudden changes are sharp
Pyloric obstruction- Nothing is going through, vomiting, stomach distended,
firm, acid base balances off, K+ levels. metabolic alkolosis
Intractable disease- tried medications, no longer working, stop ADL
Etiology of PUD - ANSWER Bacterial infection (H. Pylori)- always present
Family tendencies
NSAID/ASA use- excessive
Alcohol ingestion
Excessive smoking
Signs and Symptoms of PUD - ANSWER Epigastric tenderness- start in upper
GI system
Hyperactive BS initially, then diminished
Dyspepsia (Heartburn)
Sensation of abdominal pressure, fullness, or hunger
Gastric ucler pain
Duodenal ulcer pain
Vomiting
2 Types of Peptic Ulcers - ANSWER Gastric Ulcer
Duodenal Ulcer
ANSWERS
Peptic Ulcer - ANSWER an excavated lesion of the mucosal wall of the
esophagus, stomach, phylorus, or duodenum
Peptic Ulcer Disease (PUD) - ANSWER Results when gastric mocosal
defenses become impaired and longer protect the epithelium from the effects of
acid and pepsin
Complications of Ulcers - ANSWER Hemorrhage- Upper GI Bleed, vomiting
like coffee ground or bright blood, Stool tarry black, old blood Upper GI, Bright
blood in stools Lower GI
Perforation- break in the skin tissue, crack or fissure. Stomach content going
into abdominal cavitity, can lead to Perionitis. Hard distended abdomen. Bowel
sounds are hypoactive. Sudden changes are sharp
Pyloric obstruction- Nothing is going through, vomiting, stomach distended,
firm, acid base balances off, K+ levels. metabolic alkolosis
Intractable disease- tried medications, no longer working, stop ADL
Etiology of PUD - ANSWER Bacterial infection (H. Pylori)- always present
Family tendencies
NSAID/ASA use- excessive
Alcohol ingestion
Excessive smoking
Signs and Symptoms of PUD - ANSWER Epigastric tenderness- start in upper
GI system
Hyperactive BS initially, then diminished
Dyspepsia (Heartburn)
Sensation of abdominal pressure, fullness, or hunger
Gastric ucler pain
Duodenal ulcer pain
Vomiting
2 Types of Peptic Ulcers - ANSWER Gastric Ulcer
Duodenal Ulcer
