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Chapter: 4 / Q: 102
A 50-year-old patient has undergone truncal vagotomy and antrectomy with Billroth II reconstruction two years ago. The patient now complains of recurrent postprandial pain, nausea, and vomiting. Endoscopic examination reveals bile in the stomach; endoscopic biopsies demonstrate histologic evidence
Chapter: 4 / Q: 103
A 50-year-old male with a 2 year history of duodenal ulceration develops sudden, severe epigastric pain 4 hours prior to evaluation. Physical examination reveals T 101° F, pulse 80, BP 125/90, diminished bowel sounds, and abdominal muscular rigidity. An upright chest x-ray reveals
Chapter: 4 / Q: 104
Which of the following clinical circumstances have been identified as predisposing factors for the development of stress ulceration?
Chapter: 4 / Q: 105
Type I gastric ulcers are located in the gastric body, usually along the lesser curvature. Which of the following statements correctly characterize type I gastric ulcers?
Chapter: 4 / Q: 106
Which of the following statement(s) is/are correct regarding gastric ulcers greater than 3 cm in size?
Chapter: 4 / Q: 107
With regard to benign gastric ulceration, the most common location of disease is which of the following?
Chapter: 4 / Q: 108
Which of the following statement(s) regarding gastric mucosal defense is/are correct?
Chapter: 4 / Q: 109
A 35-year-old smoker is involved in a house fire and receives a 45% total surface area burn. One half of the burned surface appears to be third degree. On the third post-burn day, the patient is noted to have bloody drainage from a nasogastric tube and a decrease of 5% in his hematocrit. Appropriat
Chapter: 4 / Q: 110
Agents demonstrated to have an efficacy of greater than 90% for prophylactic treatment of stress ulceration include which of the following?
Chapter: 4 / Q: 111
A 45-year-old male presents with symptoms of epigastric pain, worsened with ingestion of food. Physical examination is normal. Upper abdominal ultrasonography is unremarkable. Contrast radiography reveals a 2 cm ulcer in the gastric fundus along the lesser curvature. Therapy with omeprazole 20 mg
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