GI15

Question 1

What are the characteristics of Menetrier’s disease?

Answer 1

• Gastric hypertrophy w/ protein loss
• Parietal cell hypertropy
• Increased mucous cells
• Precancerous

*Rugae of stomach are so hypertrophied that they look like brain gyri

Question 2

Peptic ulcer disease: Gastric or Duodenal

- H. pylori infection 100%

Answer 2

Duodenal

Question 3

Peptic ulcer disease: Gastric or Duodenal

- Pain DEcreases with meals

Answer 3

Duodenal

Question 4

Peptic ulcer disease: Gastric or Duodenal

- Increased risk of carcinoma

Answer 4

Gastric

Question 5

Peptic ulcer disease: Gastric or Duodenal

- Weight loss

Answer 5

Gastric

Question 6

Peptic ulcer disease: Gastric or Duodenal

- H. pylori in 70%

Answer 6

Gastric

Question 7

Peptic ulcer disease: Gastric or Duodenal

- Hypertrophy of Brunner’s glands

Answer 7

Duodenal

Question 8

Peptic ulcer disease: Gastric or Duodenal

- Weight gain

Answer 8

Duodenal

Question 9

Peptic ulcer disease: Gastric or Duodenal

- Pain Greater with meals

Answer 9

Gastric

Question 10

Peptic ulcer disease: Gastric or Duodenal

- Occurs in older patients

Answer 10

Gastric

Question 11

What is the causes of Gastric ulcer?

Answer 11

DEcreased mucosal protection against Gastric acid

*NSAID use is also implicated

Question 12

What is the cause of Duodenal ulcer?

Answer 12

DEcreased mucosal protection or INcreased acid secretion (i.e., Zollinger-Ellison syndrome)