Exercise # 15

PRACTICE QUESTIONS

Exercise # 15

Q1. H pylori survives in the acidic environment by its ability to

a. Produce OH ions which neutralizes H ions

b. It produces urease which hydrolyses urea into ammonia, which neutralizes Acid

c. It produces bicarbonate which neutralizes H ions

d. The actual mech of action is yet to understood

Q2. Is there a genetic relationship to Ulcer?

a. Yes

b. No

c. Present only in Hispanics

d. Present  only in Afro-Americans

Q3. Which type Blood group has above normal incidence of D Ulcers?

a. A

b. B

c. AB

d. O

Q4. How does smoking play a role in  peptic ulcer disease?

a. Nicotine decreases bilary and pancreatic bicarbonate secretion

b. Smoking accelerates emptying of stomach acid into the duodenum

c. Smoking increases the release of acid from parietal cells

d. A & B

e. A, B & C

Q5. Which of the following are not associated with Peptic ulcer disease?

a. NSAID

b. Coffee

c. Corticosteroids

d. Alcohol

e. Prostaglandin Analogues

Q6. Which are the factors that cause peptic ulcers?

a. Hcl

b. Pepsin

c. Disrupted Mucosal barrier integrity

d. All of the above

e. Only A & C

Q7. What is TLESR?

a. Total Lower Esophageal Sphincter Relaxation

b. Total Lessened Esophageal Sphincter Relaxation

c. Transient Lower Esophageal Sphincter Relaxation

d. Total Lower Esophageal Sphincter Repair

Q8. Duodenal ulcer pain is felt

a. Before breakfast

b. Between midnight and 2 am

c. Round the clock

d. Only after afternoon meal

Q9. gastric ulcer pain is felt

a. rarely in the night

b. Only in the night

  

Q10. Food usually

a. Relieves D ulcer pain

b. May cause gastric ulcer pain

c. Relieve both D & G ulcer pain

d. May cause both d & G ulcer pain

e. A & B

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