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Multiple Choice

Which of the following is a finding associated with a gastric ulcer?

Gastric ulcers often cause epigastric pain that is worsened by eating. This meal-related aggravation is a classic feature and can be accompanied by nausea and early satiety. In contrast, pain from a duodenal ulcer typically improves with meals or occurs a few hours after eating. While GI bleeding (coffee-ground emesis or melena) can occur with an ulcer, the defining presentation is the relation of pain to meals. Therefore, the description of nausea with stomach pain that increases after meals best reflects a gastric ulcer.

Gastric ulcers often cause epigastric pain that is worsened by eating. This meal-related aggravation is a classic feature and can be accompanied by nausea and early satiety. In contrast, pain from a duodenal ulcer typically improves with meals or occurs a few hours after eating. While GI bleeding (coffee-ground emesis or melena) can occur with an ulcer, the defining presentation is the relation of pain to meals. Therefore, the description of nausea with stomach pain that increases after meals best reflects a gastric ulcer.