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Gastritis & Peptic Ulcer Quiz

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Gastritis and PUD essentials

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Gastritis & Peptic Ulcer Quiz
 

Gastritis & Peptic Ulcer QuizOnline version

Gastritis and PUD essentials

by CHAN Ava
1

Which best describes acute gastritis? A) Progressive atrophy from H. pylori B) Rapid mucosal inflammation lasting hours to days C) Chronic irreversible damage D) Inflammation limited to the duodenal bulb

2

What is a common cause of chronic gastritis? A) Food poisoning B) Ingestion of poisons C) Long-term NSAID use D) Acute stress from major surgery

3

In acute gastritis, what occurs immediately after mucosal damage? A) Atrophic changes B) Mucosal inflammation with oedema C) Malignant transformation D) Gastric outlet obstruction

4

Which medication class protects the stomach in both acute and chronic gastritis? A) Antibiotics only B) Proton pump inhibitors (PPIs) C) Iron supplements D) Antidiarrhoeals

5

Most common location for peptic ulcer disease (PUD)? A) Lower oesophagus B) Gastric fundus C) Duodenum D) Pyloric sphincter

6

Night burning pain relieved by food suggests which condition? A) Gastric ulcer B) Duodenal ulcer C) Acute gastritis D) Esophageal varices

7

In duodenal ulcer, which complication is more common than in gastric ulcer? A) Malignancy B) Haematemesis C) Melaena D) Gastric outlet obstruction

8

Gold standard test for diagnosing PUD? A) Urea breath test B) Barium swallow C) OGD with biopsy D) Stool occult blood test

9

Pylorus test color in PyloPlus RUT within one hour? A) Yellow B) Green C) Blue D) Red or deep orange

10

14-day triple therapy for H. pylori PUD usually includes? A) Two antibiotics + one PPI B) Two PPIs + one antibiotic C) One antibiotic + two bismuth compounds D) One PPI + one H2 blocker + one antibiotic

11

Chronic gastritis may progress to ______________ gastritis (autoimmune gastritis).

12

Resume oral intake after acute gastritis: start with _________________ liquids.

13

In a gastric ulcer, haematemesis is more common than _________________.

14

Amoxil on an _________________ stomach (1 hour before or 2 hours after meals).

15

Two surgical procedures for refractory PUD are vagotomy and _________________ (widening the pylorus).

16

List three causes of acute gastritis.

17

Describe two key differences between gastric and duodenal ulcers (pain onset and relief).

18

Clarithromycin education with food for H. pylori and why?

19

Name three complications of peptic ulcer disease.

20

Three lifestyle modifications for PUD management.

解释

Acute gastritis is transient, with rapid onset inflammation of the gastric mucosa.

Chronic gastritis is often linked to long-term NSAID use or H. pylori infection.

Initial response is inflammation with edema of the mucosa.

PPIs reduce acid and help protect the gastric mucosa.

Duodenal ulcers are more common than gastric ulcers.

Duodenal ulcers typically pain at night relieved by eating.

Melena is a common sign with upper GI ulcers, including duodenal ulcers.

Endoscopy with biopsy provides direct visualization and histology.

A positive RUT turns red or deep orange within an hour.

Standard triple therapy combines two antibiotics with a PPI.

Chronic autoimmune gastritis can progress to atrophic gastritis.

Begin with clear liquids and advance as tolerated.

Gastric ulcers often present with hematemesis more than melena.

Take amoxicillin on an empty stomach for best absorption.

Vagotomy with pyloroplasty is used for refractory PUD to improve gastric emptying.

Common causes: infections (e.g., H. pylori), NSAID use, and alcohol.

Gastric ulcers often worsen with meals; duodenal ulcers typical relief from eating.

Clarithromycin can irritate stomach; some regimens advise timing around meals; avoid certain interactions.

Complications include bleeding, perforation, and gastric outlet obstruction.

Lifestyle: avoid NSAIDs, quit smoking, limit alcohol; gentle meals.

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