Peptic Ulcer Disease · Pathology

Which factor is the most important defense mechanism of the gastric mucosa against acid?

  1. Fast gastric emptying
  2. Mucus-bicarbonate secretion
  3. High turnover of chief cells
  4. Vagal nerve stimulation
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Correct answer: Mucus-bicarbonate secretion

The 'mucosal barrier' consists of a thick layer of surface mucus and trapped bicarbonate ions. This creates a pH gradient that protects the epithelial cells from the highly acidic environment of the gastric lumen.

Difficulty: Medium Question 13 of 20

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