PUD- Peptic Ulcer Disease Exam
2025 Questions and Answers 100%
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what are the 2 cells of the Gastric Gland? - ✔✔Parietal cells
Mucoid cells
What do parietal cells do? - ✔✔Produce and secrete HCl
Primary site of action for many acid-controller drugs
What do mucoid cells do? - ✔✔Mucus-secreting cells (surface epithelial cells)
Provide a protective mucous coat
Protect against self-digestion by HCl
What is Hydrochloric Acid (HCl) Secretion stimulated by? - ✔✔Large fatty meals
Excessive amounts of alcohol
Emotional stress
Why is stomach acid good? - ✔✔High acidity helps absorption and is antimicrobial
Helps stimulate digestive enzymes
Helps absorb iron and B12
KILLs bacteria thats ingested
Why is stomach acid bad? - ✔✔If it splashes up the esophagus it can cause
COPYRIGHT © 2025 BY EMILLY CHARLOTTE, ALL RIGHTS RESERVED 1
, Heartburn pain/ Decrease QOL
Can damage the lining of the esophagus
Heartburn
Esophagitis
Barrets esophogus
Stricures (scar tissue)
dental erosion
What are risk factors of PUD? - ✔✔Infection w H. Pyolri
Meds: Steroids, NSAIDS
Lifestyle: Stress/Smoking / ETOH
Family hx
What are some Non-Endoscopic test for H.Pylori? - ✔✔1) Urea breath test
Stop PPIs 2 weeks before test
2) Stool fecal antigen test
What are some tx options for H.Pylori? - ✔✔Infection will remain active if not
treated / high reoccurrence rate of ulcers
Acid-reducing medications have to little to no effect
1) Antibiotics, 2+
2) Proton pump inhibitor (PPI)
3) Bismuth compounds
How will the RN know the Peptic ulcers are getting worse? - ✔✔bleeding ulcers=
loss conciousness, vomit blood, pale, decrease BP, tachycardia
Bleeeding into peritoneal cavity= increase WBC count, vomit bile
COPYRIGHT © 2025 BY EMILLY CHARLOTTE, ALL RIGHTS RESERVED 2
2025 Questions and Answers 100%
Pass
what are the 2 cells of the Gastric Gland? - ✔✔Parietal cells
Mucoid cells
What do parietal cells do? - ✔✔Produce and secrete HCl
Primary site of action for many acid-controller drugs
What do mucoid cells do? - ✔✔Mucus-secreting cells (surface epithelial cells)
Provide a protective mucous coat
Protect against self-digestion by HCl
What is Hydrochloric Acid (HCl) Secretion stimulated by? - ✔✔Large fatty meals
Excessive amounts of alcohol
Emotional stress
Why is stomach acid good? - ✔✔High acidity helps absorption and is antimicrobial
Helps stimulate digestive enzymes
Helps absorb iron and B12
KILLs bacteria thats ingested
Why is stomach acid bad? - ✔✔If it splashes up the esophagus it can cause
COPYRIGHT © 2025 BY EMILLY CHARLOTTE, ALL RIGHTS RESERVED 1
, Heartburn pain/ Decrease QOL
Can damage the lining of the esophagus
Heartburn
Esophagitis
Barrets esophogus
Stricures (scar tissue)
dental erosion
What are risk factors of PUD? - ✔✔Infection w H. Pyolri
Meds: Steroids, NSAIDS
Lifestyle: Stress/Smoking / ETOH
Family hx
What are some Non-Endoscopic test for H.Pylori? - ✔✔1) Urea breath test
Stop PPIs 2 weeks before test
2) Stool fecal antigen test
What are some tx options for H.Pylori? - ✔✔Infection will remain active if not
treated / high reoccurrence rate of ulcers
Acid-reducing medications have to little to no effect
1) Antibiotics, 2+
2) Proton pump inhibitor (PPI)
3) Bismuth compounds
How will the RN know the Peptic ulcers are getting worse? - ✔✔bleeding ulcers=
loss conciousness, vomit blood, pale, decrease BP, tachycardia
Bleeeding into peritoneal cavity= increase WBC count, vomit bile
COPYRIGHT © 2025 BY EMILLY CHARLOTTE, ALL RIGHTS RESERVED 2
