The most common site of occurring peptic ulcers in stomach:

Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2023

Explanation

Gastric ulcers, a type of peptic ulcer, most frequently develop in the pyloric portion of the stomach.
The lesser curvature near the pyloric antrum is the most common site due to its anatomy and prolonged exposure to gastric acid.
This area is also a frequent site for colonization by Helicobacter pylori, a primary cause of peptic ulcer disease.
Factors like the pooling of gastric contents and ingested drugs (like NSAIDs) contribute to the vulnerability of this region.

Option B: The cardiac portion, at the top of the stomach, is an infrequent site for ulcers.
Option C: The esophageal junction is where the esophagus meets the stomach. Ulcers here are esophageal ulcers, not gastric ulcers.
Option D: The body (corpus) of the stomach is a less common location for peptic ulcers compared to the pyloric area.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Anatomical location of gastric ulcers as background academic context rather than a clinical decision trigger.
Understanding the common location of gastric ulcers helps nurses anticipate patient symptoms, such as epigastric pain that worsens with food, which is characteristic of ulcers in this area.
This knowledge is crucial for interpreting endoscopic findings and providing accurate patient education about their condition and treatment plan.
What if? If the patient reported epigastric pain that was relieved by eating, the nurse should suspect a duodenal ulcer rather than a gastric ulcer, as the location often dictates the pain pattern.

How to Approach the Question

First, identify the key terms in the question: 'peptic ulcers', 'stomach', and 'most common site'.
Recognize that 'peptic ulcer' is a broad term, but the question specifies 'in stomach', narrowing the focus to gastric ulcers.
Recall the major anatomical divisions of the stomach: cardiac, fundus, body, and pylorus.
Access your knowledge of gastrointestinal pathophysiology to remember that the pyloric antrum along the lesser curvature is the most frequent location for gastric ulcers.
Evaluate the options based on this knowledge, confirming that the 'Pyloric portion' correctly identifies this anatomical region.

Concept Tested & Keywords

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E6 Anatomy BDChaurasia V2 10e Part 2 p. 29-31

E6 Nursing Brunner Adult Health 3SA Vol 1 Part 2 p. 141-143

Practise the full RUHS, Jaipur, M.Sc Nursing Entrance Exam-2023

Attempt every question from this paper in a timed mock, then review the full solution for each one.