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Question

The following statements about peptic ulcer are true except:

The correct answer is
Duodenal ulcer invariably changes into malignant.

Peptic Ulcer Statements Analysis

Peptic ulcers are sores that develop on the lining of the stomach, small intestine, or esophagus. The question asks to identify the statement that is NOT true about peptic ulcers.

Statement Analysis

  • Statement 1: Eradication of H. pylori is a part of medical management.

    This statement is true. Infection with the bacterium Helicobacter pylori (H. pylori) is a primary cause of peptic ulcers. Treatment often involves antibiotics to eradicate the bacteria, along with acid-reducing medications.

  • Statement 2: Duodenal ulcer invariably changes into malignant.

    This statement is false. Duodenal ulcers are generally benign (non-cancerous). While gastric ulcers have a small potential to become malignant, duodenal ulcers very rarely, if ever, turn cancerous. Therefore, they do not invariably change into malignant growths.

  • Statement 3: Complications are indication for surgery.

    This statement is true. Severe complications of peptic ulcers, such as uncontrolled bleeding (hemorrhage), perforation (a hole through the stomach or duodenal wall), or obstruction (blockage), often require surgical intervention.

  • Statement 4: Zollinger-Ellison syndrome is associated with intractable peptic ulceration.

    This statement is true. Zollinger-Ellison syndrome is a rare condition where tumors produce excess gastrin, leading to high stomach acid levels. This causes severe, difficult-to-treat (intractable) peptic ulcers, often in unusual locations.

Conclusion

Based on the analysis, the statement that is not true about peptic ulcers is that duodenal ulcers invariably change into malignant conditions.

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Important Questions from Peptic Ulcer Disease

  1. With regard to Helicobacter pylori eradication in peptic ulcer disease, consider the following statements: 

    1. Proton-pump inhibitor is taken with two antibiotics. 

    2. Treatment is prescribed for at least 7 days. 

    3. Treatment of Helicobacter pylori infection leads to vitamin B12 deficiency. 

    4. Patients requiring long-term NSAIDS should undergo Helicobacter pylori eradication therapy to reduce ulcer risk. 

    Which of the statements given above are correct?

  2. Which one of the following statements is correct with regard to peptic ulcer prophylaxis?
  3. The investigation of choice for early follow-up in patients treated for anti-$H.$ pylori drugs is
  4. The most common non-pancreatic site for tumour distribution in Zollinger-Ellison syndrome is
  5. Helicobacter pylori infection is associated with the development of which one of the following lymphoid malignancies?
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