Richard has a peptic ulcer that has been irritating him for years. What could have caused this ulcer?
  1. H. pylori
  2. Nicotine
  3. Alcohol
  4. All of the above
Explanation
Answer - D - H. pylori, nicotine, and alcohol can all cause peptic ulcers. They can also be caused by non-steroidal anti-inflammatory drugs such as ibuprofen and aspirin; and acid-stimulating products, such as alcohol and nicotine. All these products contribute to the erosion of the protective mucosal lining in the stomach. When this lining is gone, hydrochloric acid used in the digestive process is allowed to erode the stomach lining.
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