06-10-2015, 01:05 PM
A 38-year-old man comes to the physician 24 hours after vomiting coffee-ground-like material. He has a 6-month history of intermittent, dull epigastric pain that is
temporarily relieved with the use of antacids Physical examination shows rmld epigastric tenderness Upper gastrointestinal endoscopy shows a duodenal ulcer Serum studies show markedly increased circutaang concentrations of gastrin. Gastrin mediated hyperstimulation of which of the following cell types has contnbuted the most to the development of a duodenal ulcer in this patient?
A) Acinar cells of Brunner glands
B) Centroacinar cells
C) Enleroendocrine cells
D) Gastric chief cells
E) Mucous neck cells
F} Paneth cells
G) Parietal cells
H) Surface mucous cells
temporarily relieved with the use of antacids Physical examination shows rmld epigastric tenderness Upper gastrointestinal endoscopy shows a duodenal ulcer Serum studies show markedly increased circutaang concentrations of gastrin. Gastrin mediated hyperstimulation of which of the following cell types has contnbuted the most to the development of a duodenal ulcer in this patient?
A) Acinar cells of Brunner glands
B) Centroacinar cells
C) Enleroendocrine cells
D) Gastric chief cells
E) Mucous neck cells
F} Paneth cells
G) Parietal cells
H) Surface mucous cells