Question
Common sites for Cushing ulcers include all of the following except:
| A. |
Esophagus
|
| B. |
Stomach
|
| C. |
1st part of duodenum
|
| D. |
Distal duodenum
|
Show Answer
|
Correct Answer » D
Explanation
|
|
- Cushing ulcers are acute stress ulcers that develop following raised intracranial pressuredue to conditions such as:
- Head injury
- Brain tumors
- Intracranial hemorrhage
- Neurosurgical procedures
- They result from vagal overstimulation, causing excessive gastric acid secretion.
- The common sitesof Cushing ulcers are:
- Stomach
- Esophagus
- First part (proximal) of the duodenum
- Distal duodenum is not a common site.
Why Other Options are Incorrect
A. Esophagus
- Common site of Cushing ulcers due to acid-induced mucosal injury.
B. Stomach
- Most common location.
- Ulcers are often multiple and superficial.
C. First part of the duodenum
- Frequently involved because of exposure to increased gastric acid secretion.
