Peptic Ulcer Disease– GI

Question 1

Pain greater with meals

weight loss

Answer 1

Gastric Ulcer

Question 2

Pain decreases with meals

weight gain

Answer 2

Duodenal Ulcer

Question 3

H.Pylori associated etiology

Answer 3

Duodenal (90%)

Gastric (70%)

Question 4

Caused by less mucosal protection against gastric acid

Answer 4

Gastric Ulcer

Question 5

Caused by less mucosal protection against gastric acid
or
Increased gastric secretion

Answer 5

Duodenal Ulcer

Question 6

Can be caused by NSAIDs frequent use (ex: patient with arthritis)

Answer 6

Gastric Ulcer

Question 7

Can be caused by Zollinger- Ellison (Gastrinoma)

Answer 7

Duodenal Ulcer

Question 8

Increases risk of Carcinoma

Answer 8

Gastric Ulcer

Question 9

Does not increase risk of Carcinoma

Answer 9

Duodenal Ulcer

Question 10

Must Biopsy margins to rule out malignancy

Answer 10

Gastric Ulcer

Question 11

Rupture of Gastric ulcer on the ______ of stomach = bleeding from ____ artery

Answer 11

lesser curvature

Left Gastric

Question 12

Ulcers on the posterior wall of the duodenum cause bleeding from the ____ artery

Answer 12

Gastrodudenal

Question 13

____ ulcers are more likely to hemorrhage

Answer 13

posterior (than anterior)

Question 14

Duodonal ulcers are more likely to perforate on the _____ side into the ____ abdominal cavity leading to:

Answer 14

anterior
anterior
Pneumoperitoneum

Question 15

2 places ulcers can cause obstructions at

Answer 15

Pyloric Channel

Duodenal

Question 16

May see free air under the diaphragm due to ______

causes referred pain to the _____ via the _____ nerve

Answer 16

Pneumoperitoneum
Shoulder
Phrenic

Question 17

Pneumoperitoneum caused by

Answer 17

anterior duodenal ulcer perforation