GI- stomach diseases

Question 1

most common causes of peptic ulcer disease

Answer 1

H.pylori infection
NSAIDs

Question 2

gastric ulcer pain worse/relieved by eating

Answer 2

worse after eating

Question 3

duodenal ulcer pain worse/relieved by eating

Answer 3

relieved by eating (/milk)

Question 4

which type of ulcer is worse when lying flat

Answer 4

duodenal ulcer- may wake during night

Question 5

how do ruptures present with duodenal ulcers

Answer 5

rectal bleeding/meleana

Question 6

how do ruptures present with gastric ulcers

Answer 6

haematemesis

Question 7

investigation for peptic ulcer disease for patients <55 with no red flags

Answer 7

H. pylori breath test OR stool antigen test

Question 8

investigation for peptic ulcer disease for patients >55 or at least one red flag

Answer 8

endoscopy

Question 9

H.pylori positive triple therapy

Answer 9

PPI + amoxicillin (/metronidazole) + clarithromycin

Question 10

peptic ulcer disease management (H.pylori negative)

Answer 10

PPI and withdraw NSAIDs

Question 11

do antacids help gastric/duodenal ulcers

Answer 11

gastric ulcers