A 32-Year-Old Man Comes to the Clinic for Peptic Ulcer

question 772

Multiple Choice

A 32-year-old man comes to the clinic for peptic ulcer disease follow-up.  The patient has received several months of proton pump inhibitor therapy without significant improvement in his epigastric discomfort.  He does not use nonsteroidal anti-inflammatory drugs, tobacco, or alcohol.  Helicobacter pylori testing is negative.  The patient undergoes a partial gastrectomy for refractory peptic ulcer disease.  The pathologist receives the tissue and notes significant enlargement of the gastric rugal folds on gross examination.  Microscopy of the gastric mucosa reveals parietal cell hyperplasia.  Which of the following stimuli is the most likely cause of parietal cell proliferation in this patient?

• A)Acetylcholine
• B)Gastrin
• C)Secretin
• D)Serotonin
• E)Somatostatin
• F)Transforming growth factor alpha

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Definitions:

Operating Activities

Activities directly related to the operation of the business, including cash flows from operations, investing, and financial activities.

Direct Method

A cash flow statement preparation approach that shows the specific cash inflows and outflows associated with the operating activities.

Cash Received

The actual cash gathered by a company from its various activities, including sales, financing, or investing, during a particular period.

Noncash Investing

A financial activity that involves acquiring or disposing of assets without the immediate use of cash, such as through trading one asset for another or completing transactions through financing arrangements.