The broad band of loose connective tissue beneath the mucosa that contains blood vessels, lymph and nerves is called the:

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Question 1 of 5

The broad band of loose connective tissue beneath the mucosa that contains blood vessels, lymph and nerves is called the:

Correct Answer: B

Rationale: The submucosa is the layer beneath the mucosa in the digestive tract, containing blood vessels, lymphatics, and nerves, making B the correct answer.

Question 2 of 5

Which of the following statements regarding drugs used in atrial fibrillation is correct?

Correct Answer: D

Rationale: Verapamil is used for rate control in supraventricular arrhythmias, not ventricular, but is the most correct option here.

Question 3 of 5

When should patients take proton pump inhibitors?

Correct Answer: A

Rationale: PPIs are most effective taken 30-60 minutes before a meal to inhibit acid secretion before food stimulates it, making A the correct answer.

Question 4 of 5

A patient is being discharged from hospital after an episode of unstable angina. Which ONE of the following medicines should be stopped prior to discharge from hospital?

Correct Answer: D

Rationale: Fondaparinux, an anticoagulant used acutely, is typically stopped at discharge, while antiplatelets like aspirin and clopidogrel continue, making E the correct answer.

Question 5 of 5

A 32-year-old woman presents with a 10-month history of an intermittent burning sensation in the epigastrium that is sometimes related to eating. She has heard about bacteria that can cause gastrointestinal (GI) symptoms. She has had no change in her weight and denies dysphagia. Her laboratory tests are normal. Which of the following would you recommend?

Correct Answer: A

Rationale: The patient presents with dyspepsia. In individuals who are under the age of 45 years and present with no other warning signs (e.g., anemia, weight loss, or dysphagia), a serum qualitative test for H. pylori can be obtained to document H. pylori infection, provided that the patient has no prior history of being treated. A serum IgG can remain positive even after antibiotic eradication. In H. pylori-positive individuals who do not respond to therapy, an upper endoscopy would be the next test. An upper GI series cannot detect H. pylori and is less sensitive than endoscopy in detecting lesions of the esophagus, stomach, and proximal small bowel. Empiric therapy for H. pylori is never recommended.

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