1.
Which of the following is NOT a causative agent for a peptic ulcer?
Correct Answer
D. Augmentin
Explanation
Augmentin is an antibiotic medication that contains amoxicillin and clavulanic acid. It is commonly used to treat various bacterial infections. However, it is not a causative agent for a peptic ulcer. Peptic ulcers are primarily caused by factors such as the Helicobacter pylori bacteria, which can damage the lining of the stomach and small intestine, as well as the use of nonsteroidal anti-inflammatory drugs (NSAIDs) and physiological stress. Augmentin does not directly contribute to the development of peptic ulcers.
2.
What are the complications of a Peptic Ulcer?
Correct Answer
F. B & C
Explanation
The complications of a peptic ulcer include GI bleed and perforation. GI bleed refers to bleeding in the gastrointestinal tract, which can be a serious and life-threatening complication of peptic ulcers. Perforation occurs when the ulcer creates a hole in the stomach or intestine, leading to leakage of stomach acid and bacteria into the abdominal cavity. This can cause severe pain and infection. Dysphagia, difficulty swallowing, and Barrett's esophagus, a condition where the lining of the esophagus changes, are not directly complications of peptic ulcers.
3.
When HP is the cause of PUD, the ulcer disease can be eradicated with
Correct Answer
A. Treatment
Explanation
When HP (Helicobacter pylori) is the cause of peptic ulcer disease (PUD), the most effective way to eradicate the ulcer is through treatment. This usually involves a combination of antibiotics, acid-suppressing medications, and sometimes bismuth subsalicylate. Treatment aims to eliminate the H. pylori bacteria and reduce the production of stomach acid, allowing the ulcer to heal. Medication and meditation may help manage symptoms or promote overall well-being, but they are not sufficient to eradicate the underlying cause of the ulcer. Therefore, the correct answer is treatment.
4.
The lifetime risk of ulcer disease is
Correct Answer
C. 5 to 10 percent
Explanation
The correct answer is 5 to 10 percent. This means that the chances of developing ulcer disease during a person's lifetime are estimated to be between 5 and 10 percent. Ulcer disease is a common condition characterized by sores in the lining of the digestive tract, usually caused by a bacterial infection or long-term use of certain medications. The given answer suggests that the risk of developing this condition is relatively low, compared to the other options provided.
5.
Both gastric ulcers and H.pylori infection are highly associated with _________.
Correct Answer
B. Gastric malignancy
Explanation
Both gastric ulcers and H. pylori infection are highly associated with gastric malignancy. This means that individuals who have gastric ulcers or H. pylori infection are at an increased risk of developing gastric malignancy, which is a type of cancer that affects the stomach. This association suggests that these conditions may be risk factors for the development of gastric malignancy.
6.
Ulcerations typically occur in regions bathed with acid/pepsin, such as the
Correct Answer
C. Duodenum
Explanation
,
7.
What often describes the pain of PUD?
Correct Answer
D. Burning or gnawing. Radiates to the back.
Explanation
The correct answer is "Burning or gnawing. Radiates to the back." This is because the pain of peptic ulcer disease (PUD) is commonly described as a burning or gnawing sensation. It is often felt in the upper abdomen and can radiate to the back. This type of pain is typically caused by the stomach acid irritating the lining of the stomach or duodenum.
8.
Complications of PUD include bleeding, perforation, and penetration.
1.) Bleeding typically manifests as _________________.
2.) PUD is the most common cause of nonhemorrhagic GI bleeds/
Correct Answer
A. Melena
Explanation
Melena is a black, tarry stool that occurs as a result of upper gastrointestinal bleeding. It is a common manifestation of bleeding in peptic ulcer disease (PUD). The dark color of melena is due to the digestion of blood in the stomach and small intestine. Therefore, melena is a typical presentation of bleeding in PUD. Clots, coffee grounds, and loose, runny stools are not specific to PUD-related bleeding and may be seen in other gastrointestinal conditions.
9.
What is best used for detecting small or healing ulcers?
Correct Answer
A. Endoscopy
Explanation
Endoscopy is the best method for detecting small or healing ulcers. It involves inserting a flexible tube with a camera on the end into the body to visually examine the digestive tract. This allows for a direct visualization of the ulcers, providing a more accurate diagnosis compared to other methods such as barium radiography, urea breath test, or abdominal CT.
10.
What is the treatment for PUD in addition to discontinuing irritating factors?
Correct Answer
D. Combination therapy
Explanation
Combination therapy is the treatment for PUD in addition to discontinuing irritating factors. This means that a combination of different medications is used to treat the condition. This approach is often recommended because it can help to eradicate the bacteria H. pylori, which is a common cause of PUD. Combination therapy typically involves the use of a proton pump inhibitor (PPI) to reduce stomach acid production, along with antibiotics such as amoxicillin and/or tetracycline to target the bacteria. Bismuth subsalicylate may also be included in the combination therapy to help protect the stomach lining.