Peptic Ulcer Disease · Pathology

What is the primary mechanism by which Helicobacter pylori contributes to the formation of duodenal ulcers?

  1. Direct invasion of the duodenal mucosa
  2. Increased gastrin secretion and acid load
  3. Production of toxic bile salts
  4. Decreased bicarbonate secretion in the pancreas
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Correct answer: Increased gastrin secretion and acid load

H. pylori infection in the gastric antrum leads to decreased somatostatin and increased gastrin levels. This results in hyperchlorhydria, which overwhelms the duodenal mucosal defenses.

Difficulty: Medium Question 2 of 20

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