Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map

Clinical Review Quiz

  Helicobacter pylori: Review and Update:
Review Questions


Frederick J. Hardin, MD, and Richard A. Wright, MD

Dr. Hardin is a Fellow and Dr. Wright is a Professor and Chief, Division of Gastroenterology/Hepatology, Department of Medicine, University of Louisville, Louisville, KY.

The questions below are based on the May 2002 cover article,
Helicobacter pylori: Review and Update.”

Choose the single best answer for each question.


1. Increased prevalence of H. pylori infection is NOT associated with which of the following characteristics?
  1. Fecal-oral exposure during childhood
  2. Female sex
  3. Increasing age
  4. Low socioeconomic status during childhood
Click here to compare your answer.


2. Which of the following terms accurately describes the H. pylori organism?

  1. Cytotoxic protein­associated
  2. Gram-positive
  3. Intracellular
  4. Nonmotile
Click here to compare your answer.


3. Which of the following is NOT a histologic change associated with H. pylori infection?

  1. Atrophy of mucosal glands in longstanding infection
  2. Intense eosinophilic aggregation
  3. Lymphocytic proliferation in the stroma
  4. Neutrophilic infiltration of mucosal glands
Click here to compare your answer.


4. Which of the following characterizations does NOT pertain to nonulcer dyspepsia?

  1. Altered gastric emptying and fundic compliance may cause the disorder
  2. The disorder is associated with altered visceral sensation
  3. Eradication of H. pylori infection is usually curative of the disorder
  4. Increased levels of serotonin may play a role in the disorder
Click here to compare your answer.

5. Which of the following statements is NOT accurate regarding the diagnosis of H. pylori infection?
  1. Breath tests and stool tests can aid in diagnosis
  2. Culture can be problematic and unreliable as a diagnostic tool
  3. Histology is the “gold standard” of diagnosis
  4. Serology should be a first-line diagnostic tool in low-prevalence areas
Click here to compare your answer.


6. Which of the following statements regarding management of H. pylori infection is most accurate?

  1. Cure rates of 60% to 70% are acceptable
  2. Monotherapy is comparable to multidrug therapy
  3. Multiple acceptable treatment regimens exist
  4. Proton pump inhibitors administered to infected patients work by inhibiting the action of antibiotics
Click here to compare your answer.


7. Which of the following statements is NOT accurate regarding development of a vaccine for H. pylori infection?

  1. Antibiotic agents are likely to provide primary protective immunity
  2. Interleukins 4 and 10 are key to providing protective immunity
  3. The optimal route of administration has yet to be identified
  4. Oral vaccines can induce postimmunization gastritis
Click here to compare your answer.


8. Which of the following disorders does NOT yet have an established, accepted association with H. pylori infection?

  1. Gastric adenocarcinoma
  2. Gastric mucosa-associated lymphoid tissue lymphoma
  3. Gastritis
  4. Iron-deficiency anemia
Click here to compare your answer.



Click here to read more about Helicobacter pylori: Review and Update (Requires Adobe Acrobat Reader)






Check our archives to test your knowledge in other featured articles:

Clinical Review Quiz Archive



If you do not already have Acrobat Reader, simply click on the icon below, scroll down to the "Get the Free Acrobat Reader" heading and follow the instructions to install the program. Acrobat enables you to convert any document into an Adobe Portable Document Format (PDF) file for easy viewing.

Download Adobe Acrobat Reader


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj