Question 8 / 27:  A 62 year old man has abdominal pain, hematemesis, and melena. He is not taking NSAIDs (nonsteroidal

anti-inflammatory drugs) or aspirin. An upper endoscopy reveals a large posterior wall

duodenal ulcer. A biopsy is obtained from the gastric antrum and a rapid urease test is positive.

Which of the following findings is most likely?

A  Type A autoimmune gastritis
B  CagA positive H pylori
C  Low gastrin levels after a meal
D  Normal gastric acid production
E  Absence of gastric metaplasia in the duodenum
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Gastrointestinal Pathophysiology Exam 2005

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Attribution:  Laurence Scott Bailen, Tamsin Knox, Paul Abourjaily, Fredric D. Gordon,Marshall Kaplan,Andrew G. Plaut. PPY 222 Gastrointestinal Pathophysiology, Spring 2007. (Tufts University OpenCourseWare), http://ocw.tufts.edu/Course/47 (Accessed 3 May, 2014). License: Creative Commons BY-NC-SA
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