Peptic (Gastric Ulcer)

Question 1

How many percent of gastric ulcer are associated with H. Pylori

Answer 1

60-70%

Question 2

All gastric ulcer should be biopsied to rule out

Answer 2

Cancer

Question 3

Diagnosis

Answer 3

Upper GI endoscopy

Question 4

How do you look for a fundal ulcer

Answer 4

Make a u-manuover during endoscopy

Question 5

Gastric ulcer classification

Answer 5

Johnson’s classification

Type 1- lesser curvature close to incisura)

Type 2- prepyloric+duodenum

Type 3- only prepyloric

Type 4- high up in the body along the lesser curvature

Type 5- diffuse NSAID induced ulcer

Question 6

Most common type of gastric ulcer

Answer 6

Type 1

Question 7

Gastric ulcer that occurs due to acid secretion

Answer 7

Type 2 &3

Question 8

Most common ulcer gastric ulcer which bleeds

Answer 8

Type 4 gastric ulcer
(Left gastric artery implicated)

Question 9

Clinical features of gastric ulcer

Answer 9

Pain
Silent
Dyspepsia
Complication

Question 10

Complication of gastric ulcer

Answer 10

Perforation (mc)
Bleeding

Question 11

Definitive surgery for gastric ulcer

Answer 11

Type 1- Distal gastrectomy
Type 2- distal gastrectomy + vagotomy Or PPI
Type 4-POUCHET & CSENDES procedure

Question 12

Anastamose of jejunum with pouch is done in

Answer 12

Pouchet and csends

Question 13

Toxins in H. Pyroli

Answer 13

Tag A gene
Vac A gene
Urease enzyme( survive acidic)

Question 14

H. Pylori can cause

Answer 14

Peptic ulcers
Gastritis
Gastric cancer
MALTOMA

Question 15

H. Pylori is slightly protective against

Answer 15

Adenocarcinoma oesophagus