問題詳情
23.慢性胃炎(chronicgastritis)為上消化内視鏡檢查下常見的現象,下列敘何者正確?
(A)慢性胃炎可根據其範圍分為typeA:body-predominant gastitis及type B:antral-predominant gastrititis
(B)body-predominant gastritis主要導因為Heticobacter pyori infectionantral-predominant gastrits要導因為autoimmune related problem
(C)autoimmune gastritis的病程會依循multifocal atrophic gastritis、gastric atrophy、metaplasia,最後可能導致gastric adenocarcinoma
(D)antral-predominant gastritisperniciousanemia有關連,病人血液中會有antibodies agaist parietal cellsintrinsic factor
參考答案
答案：A
難度：困難0.4
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用户評論
【許睿紘】評論
Type A gastritis (Body-predominant) :70% HP 感染和Autoimmune gastritis (atrophic gastritis) 有關，胃癌風險比較高Gastric ulcer, HCl分泌減少Type B gastritis (Antral-predominant) :90% HP 感染、胃食道逆流胃癌風險與普通人差不多。和multifocal atrophic gastritis有關十二指腸潰瘍，胃酸分泌增多