ABSITE Focus on Stomach Health Assessment
Test Exam Review Questions with all Answers
verified for accuracy Updated 2024/2025
Gastric ulcers: risk factors - correct answer M, tobacco, etoh,
nsaids, H pylori, uremia, stress (burns, sepsis, trauma), steroids,
chemo
Gastric ulcers: location - correct answer 80% on lesser
curvature of the stomach
Gastric ulcers: hemorrhage - correct answer assoc w higher
mortality than duodenal ulcers
Gastric ulcers: sx - correct answer epigastric pain radiating
to the back, relieved with eating but recurs 30 mins later, melena
or guaiac-positive stools
Gastric ulcers: best test for H pylori - correct answer
histologic examination of biopsies from antrum
Gastric ulcers: CLO test - correct answer aka rapid urease
test, test for H pylori, detects urease released from H pylori
Gastric ulcers: types - correct answer 1 = lesser curve low
along body of stomach, due to dec mucosal protection ... 2 = 2
ulcers, lesser curvature and duodenal, similar to duodenal ulcers
w high acid secretion ... 3 = pre-pyloric (greater curvature),
similar to duodenal and type 2 w high acid secrtion ... 4 = high
,along cardia of stomach, decreased mucosal protection .... 5 =
assoc w NSAID use, greater curvature
Gastric ulcers: surgical indications - correct answer
perforation, bleeding nor controlled w EGD, obstruction, cannot
r/o malignancy, intractability (>3mo without relief - based on
mucosal findings)
Gastric ulcers: tx - correct answer truncal vagotomy and
antrectomy best for complications, try to include the ulcer w
resection (extended antrectomy), need separate ulcer excision if
that isn't possible (gastric ulcers are resected at the time of
surgery 2/2 high risk of gastric CA)
Gastric ulcers: omental patch and bleeding vessel ligation -
correct answer poor options for gastric ulcers 2/2 high
recurrence of sx and risk of gastric CA in the ulcer
Stress gastritis: describe, tx - correct answer occurs 3-10
days after events, lesions appear in fundus first ... Tx = PPI, EGD
w cautery of specific bleeding may be effective
Chronic gastritis: tx, types - correct answer tx = PPI ... Type
A = fundus = assoc a pernicious anemia, autoimmune disease ...
Type B = antral = assoc w H pylori
Gastric cancer: px - correct answer pain unrelieved by eating,
weight loss
Gastric cancer: location - correct answer 40% are in the
antrum
, Gastric cancer: epi - correct answer 50% of caner-related
death in Japan
Gastric cancer: dx - correct answer EGD
Gastric cancer: risk factors - correct answer adenomatous
polyps, tobacco, previous gastric operations, intestinal
metaplasia, atrophic gastritis, pernicious anemia, type A blood,
nitrosamines
Adenomatous polyps: risk, tx - correct answer 15% cancer
risk, tx = endoscopic resetion
Krukenberg tumor - correct answer gastric cancer mets to
ovaries
Virchow's nodes - correct answer gastric cancer mets to
supraclavicular nodes
Gastric cancer: intestinal type - describe, tx - correct answer
inc in high risk populations, older M, Japan, rare in US ....
Surgical tx = try to perform subtotal gastrectomy, need 10cm
margins
Gastric cancer: diffuse type - describe, prognosis, tx - correct
answer aka linitis plastica, in low risk population, F, MC type in
the US .... Diffuse lymphatic invasion, NO glands .... Less
favorable prognosis than intestinal type (25% 5yr survival) ....
Surgical tx = total gastrectomy b/c of diffuse nature of linitis
plastica
