Q1. Which pathogen is strongly associated with peptic ulcer?
(a) Bifidobacterium bifidum
(b) Escherichia coli
(c) Helicobacter pylori
(d) Faecalibacterium prausnitzii
Q2. Gastric ulcers are most common in younger patients
(a) True
(b) False
Q3. How do NSAIDs contribute to peptic ulcer formation?
(a) By burning holes directly in the gastric mucosa when they hit the stomach.
(b)Increasing acid production
(c) Decreasing prostaglandin synthesis
Q4. Your patient who has been diagnosed with Chronic Gastritis for 3 years presents to your primary care office complaining of worsening epigastric pain, stating “I’m still taking Protonix every day, but my symptoms have been getting worse.” How would you explain the main difference between Gastritis and Peptic Ulcer disease?
(a) You have actually had Peptic Ulcer disease this whole time.
(b) With your worsening symptoms, I think you may have developed a peptic ulcer in addition to Gastritis. I’m ordering a scope to see what’s going on.
(c) I wouldn’t worry about it, sometimes symptoms worsen during periods of stress
(d) Have you ingested any foreign objects recently?
Q5. An obese woman with chief complaints of heartburn, upper abdominal pain within one hour of eating came into the clinic without having the sighs of active bleeding. The Esophageal endoscopy shows that she is having the Barrett’s Esophagus. Which of the following disease do you suspect that cause her discomfort?
(a) Stress Ulcer
(b) Gastric Cancer
(c) Gastroesophageal reflux disease (GERD)
(d) None of the above