Gastritis · Pathology

What is the role of bacterial urease in H. pylori pathogenesis?

  1. It directly lyses parietal cells
  2. It generates ammonia to neutralize gastric acid
  3. It inhibits prostaglandin synthesis
  4. It degrades the protective mucus layer
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Correct answer: It generates ammonia to neutralize gastric acid

Urease converts urea into ammonia and carbon dioxide. The resulting ammonia cloud creates a local neutral pH environment, allowing the acid-sensitive H. pylori to survive and colonize the stomach.

Difficulty: Medium Question 14 of 20

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