American Board of Surgery Qualifying Exam (ABS QE) Practice Test

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Which type of gastric ulcer is described as having high acid and being a combination of gastric and duodenal?

Type 1
Type 2
Type 3
Type 4

The correct answer is: Type 2

The type of gastric ulcer characterized by having high acid levels and being a combination of gastric and duodenal ulcers is indeed designated as Type 2. Type 2 ulcers are distinct in that they are associated with increased gastric acid secretion and occur in the presence of duodenal ulcers. This type of ulcer is often seen in patients who have both gastric and duodenal ulceration simultaneously, indicating a more complex underlying pathology. The mechanism involves the stomach producing excess acid, which not only contributes to the gastric ulcers but also affects the duodenum, leading to ulcer formation there as well. Understanding this classification helps in the overall management of peptic ulcer disease, particularly in tailoring treatment strategies that may involve acid suppression and addressing any contributing factors such as Helicobacter pylori infection or NSAID use.