Peptic Ulcer( Duodenal)

Question 1

Which is the common ulcer

Answer 1

Dodenal»gastric

Question 2

Most common site for peptic ulcer

Answer 2

D1

Question 3

CF of duodenal ulcer

Answer 3

Epigastric pain
Silent presentation
Complication

Question 4

Most common complication of duodenal ulcer

Answer 4

Bleeding

Question 5

Most common cause of upper GI Haemorrhage

Answer 5

Peptic ulcer

Question 6

Bleeding of posterior duodenal ulcer the vessel implicated is

Answer 6

Gastroduodenal artery

Question 7

Diagnosis

Answer 7

Endoscopy

Question 8

Management

Answer 8

Atleast 2 attpts of endoscopic management are tried

Question 9

If endoscopic management fail

Answer 9

Surgery

Duodenotomy and under running of vessel

Question 10

Other complication of duodenal ulcer

Answer 10

Perforation

Usually anterior
Rarely posterior

Question 11

Anterior perforation causes

Answer 11

Peritonitis

Question 12

Clinical features of peritonitis

Answer 12

Abdominal pain
Guarding
Board like rigidity
Rebound tenderness

Erect X-ray chest

Question 13

If the patient is too sick to stand how do you diagnose gas

Answer 13

Lateral decubitus view

Question 14

Best investigation to detect free air

Answer 14

Contrast enhanced CT scan

Question 15

Management of peritonitis

Answer 15

Laprotomy (grahams patch repair or omental patch repair)

Question 16

Posterior perforation of duodenal ulcer causes

Answer 16

Retroprritoneum

Valentino( rt retroprritoneum mimics acute appendicitis)

Renal vale sign ( gas around the rt kidney)

Question 17

What is the association of H. Pylori in duodenal ulcer

Answer 17

> 90%