Peptic Ulcer Disease

Question 1

Duodenal ulcer cause ?

Answer 1

1. H Pylori
2. Zollinger Ellison syndrome

Question 2

Clinical features of Gastric ulcer ?

Answer 2

1. Epigastic pain
2. Worsens with meals
3. Site=Lesser curvature
4. Rupture=left gastric artery

Question 3

Gastric Ulcer cause ?

Answer 3

1. H Pylori
2. NSAID

Question 4

Duodenal Ulcer clinical features ?

Answer 4

1. Epigastric pain
2. Improves with meals
3. Hypertrophy of brunners glands
4. Site-Ant duodenum
5. Rupture=Gastroduodenal artery
6. Acute pancreatitis

Question 5

Which artery rupture in Duodenal Ulcer ?

Answer 5

Gastoduodenal Artery

Question 5

Never malignant which ulcer ?

Answer 5

Duodenal Ulcer

Question 6

Types of PUD ?

Answer 6

1. Duodenum - 90%
2. Distal stomach - 10%

Question 7

Gastric ulcer which Ca ?

Answer 7

Gastric adenocarcinoma
Intestinal type

Question 8

Definitve diagnosis for Gastric ulcer ?

Answer 8

Biopsy

Question 8

Benign peptic ulcer featurees ?

Answer 8

1. Small in size
2. Sharply demarcated
3. Punched out
4. Surrounded by Radiating folds of mucosa

Question 9

Punched out >?

Answer 9

Benign peptic ulcer

Question 10

Worsen with meal which ulcer ?

Answer 10

Gastric ulcer

Question 11

Gastric ulcer which artery rupture ?

Answer 11

Left gastric artery

Question 12

Malignant ulcer feature ?

Answer 12

1. Large
2. Irregular with heaped up margins