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Author Question: What is the primary clinical manifestation of a stress ulcer? a. Bowel obstruction b. Bleeding ... (Read 149 times)

jc611

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What is the primary clinical manifestation of a stress ulcer?
 
  a. Bowel obstruction
  b. Bleeding
  c. Pulmonary embolism
  d. Hepatomegaly

Question 2

What is the cause of peptic ulcer disease?
 
  a. Hereditary hormonal imbalances with high gastrin levels
  b. Breaks in the mucosa and presence of corrosive secretions
  c. Decreased vagal activity and vascular en-gorgement
  d. Gastric erosions related to high ammonia levels and bile reflux



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karlss

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Answer to Question 1

ANS: B
The primary clinical manifestation of stress-related mucosal disease is bleeding, which is uncom-mon, but occurs more readily with the presence of coagulopathy and more than 48 hours of me-chanical ventilation. None of the other options is associated with stress ulcers.

Answer to Question 2

ANS: B
Peptic ulcer disease is caused by breaks in the mucosa and the presence of corrosive substances. High gastrin occurs, but the disease is due to breaks in the mucosa. Vagal activity increases. Gas-tric erosions occur, but they are not due to high ammonia.




karlss

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