Paper II
2025 March (Supplementary (SAY)) (2019 Scheme) · 100 marks · 180 min

Question

Features of Helicobacter pylori infection

  1. It produces antral gastritis
  2. It releases ammonia from endogenous urea
  3. It invades the gastric mucosa
  4. Warthin starry stain is used to demonstrate it a) 1, 2 and 3 are correct c) 1, 3 and 4 are correct b) 2, 3 and 4 are correct d) 1, 2 and 4 are correct
  • a) 1, 2 and 3 are correct
  • c) 1, 3 and 4 are correct
  • b) 2, 3 and 4 are correct
  • d) 1, 2 and 4 are correct
Qviii1 marksMCQs

Answer

For reference, genuine features of H. pylori infection include: a gram-negative, curved/spiral, flagellated organism that colonizes the gastric mucus layer; produces urease (enabling the urea breath test and rapid urease test for diagnosis); causes chronic gastritis (predominantly antral) and is the leading cause of peptic ulcer disease (duodenal and gastric ulcers); associated with increased risk of gastric adenocarcinoma and gastric MALT lymphoma; visualized on Giemsa or Warthin-Starry silver stain.

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