What do you know about Ulcer Disease?


1	Peptic ulcers may be caused by:
		NSAIDs
		Habitual alcohol consumption
		H. pylori
		All the above


2	Gastric ulcers:
		May lead to malignancy.
		Occur at a younger age than duodenal ulcers.
		Always have increased acid production.
		Exhibit nocturnal pain.


3	Duodenal ulcers:
		Occur four times more frequently in females than males.
		May be complicated by hemorrhage.
		Are associated with sepsis.
		May cause inflammation and scar tissue formation around the sphincter of Oddi.


4	Peptic ulcers are located in the mucosa of the:
		Stomach
		Esophagus
		Duodenum
		All the above


5	___ is the primary cause of duodenal ulcers:
		Hypersecretion of acid by the stomach
		Hypersecretion of pepsin by the stomach
		Hypersecretion of acid by the duodenum
		Helicobacter pylori


6	A peptic ulcer may occur in the following areas except the:
		Stomach
		Upper small intestine
		Jejunum
		Lower esophagus


7	___ are stress ulcers that are associated with severe head trauma or brain surgery.
		Addison ulcers
		Cushing ulcers
		Ischemic ulcers
		Curling ulcers


8	The pain of a gastric ulcer:
		Usually has a pattern of remissions and exacerbations for years.
		Is generally intermittent and can often be relieved by food or antacids.
		Is constant.
		Is worse in patients with a family history.


9	A 62 year old retired male complains of frequent indigestion and abdominal pain which is relieved by eating. What type of ulcer would you suspect?
		Duodenal ulcer
		Gastric ulcer
		Curling ulcer
		Ischemic ulcer


10	Cigarette smoking:
		Prohibits gastrin secretion.
		Stimulates gastric emptying.
		Releases toxin that promotes ulceration.
		Stimulates acid production.