PAEA Surgery End Of Rotation (EOR) Practice Exam

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What symptom typically distinguishes duodenal ulcers from gastric ulcers?

  1. Intense nausea

  2. Pain relieved by food intake

  3. Constant weight loss

  4. Severe bloating after meals

The correct answer is: Pain relieved by food intake

The symptom that typically distinguishes duodenal ulcers from gastric ulcers is pain relieved by food intake. In the case of duodenal ulcers, patients often experience epigastric pain that tends to worsen when the stomach is empty. However, this pain is frequently alleviated by eating, as the food entering the stomach acts as a temporary buffer against the acid that can irritate the ulcer. This characteristic relief after meals is a hallmark of duodenal ulcer pain. On the other hand, gastric ulcers tend to have a different pattern of pain. The discomfort associated with gastric ulcers may be aggravated by eating, as the presence of food can increase gastric acid production, which can worsen ulcer symptoms. Therefore, the relationship of pain to food intake serves as a key differentiator between these two types of ulcers.