Peptic Ulcer Disease

Which patient is the least likely to be affected by peptic ulcer disease?

A. A 30 year old patient who has been smoking for the past 10 years and lost 5 pounds.

B. A 63 year old patient with sudden shoulder pain, fever and hypotension.

C. A 45 year old patient using NSAIDs to treat chronic myalgia.

D. A 26 year old patient experiencing fatigue and dark coloured stool.

The nursing student knows that the patient does not understand their diagnosis of PUD when they respond by saying:

A. “ I will begin using nicotine replacement therapy and enrol in zumba classes.”

B. “ I will adhere to my antacid medications and use NSAIDs for any pain I experience”.

C. “ I will avoid eating tomatoes and make sure to seek help if I have any dark-coloured stool.”

D. “ I will only have one glass of wine for special occasions instead of one glass every night with dinner.”

Which of the following statements is incorrect regarding PUD?

A. Type E prostaglandins (PGE) protect the mucosa by increasing the production of bicarbonate and the mucous layer.

B. Duodenal ulcers are most frequent in older adults who use NSAIDs for treatment of co-morbidities.

C. Gastric ulcers are strongly associated with asymptomatic manifestations and complications.

D. H. Pylori is commonly associated with duodenal ulcers and result in gastric acid hypersecretion.

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