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MCQ – 45581

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.
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