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USMLE · Question #603

A 34-year-old female comes to the physician with nausea and abdominal pain. She indicates that the pain is epigastric, and it improves with food intake. She also reports recent weight gain. A urease b

The correct answer is C. gastric adenocarcinoma. This patient most likely has a duodenal ulcer caused by infection with Helicobacter pylori. Helicobacter pylori is a urease positive, catalase positive, oxidase positive, curved shaped gram- negative bacterium. It may colonize the antrum of the stomach and cause gastric ulcers or

Abnormal Processes

Question

A 34-year-old female comes to the physician with nausea and abdominal pain. She indicates that the pain is epigastric, and it improves with food intake. She also reports recent weight gain. A urease breath test is obtained which is positive. This patient is most likely at an increased risk for developing

Options

  • Abladder cancer
  • Bbrain abscesses
  • Cgastric adenocarcinoma
  • Dheart block
  • Emyocarditis

How the community answered

(42 responses)
  • A
    5% (2)
  • B
    2% (1)
  • C
    83% (35)
  • D
    10% (4)

Explanation

This patient most likely has a duodenal ulcer caused by infection with Helicobacter pylori. Helicobacter pylori is a urease positive, catalase positive, oxidase positive, curved shaped gram- negative bacterium. It may colonize the antrum of the stomach and cause gastric ulcers or colonize the first part of the duodenum causing duodenal ulcers. Infection with H. pylori increases the risk for developing peptic ulcer disease, gastric adenocarcinomas and MALT lymphomas.

Topics

#H. pylori#gastric adenocarcinoma#urease breath test#peptic ulcer disease

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