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Question 17N.3.SL.TZ0.17b

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Date November 2017 Marks available [Maximum mark: 3] Reference code 17N.3.SL.TZ0.17b
Level SL Paper 3 Time zone TZ0
Command term Outline Question number b Adapted from N/A
b.
[Maximum mark: 3]
17N.3.SL.TZ0.17b

The graph shows the relationship between gastrointestinal (GI) damage and gastric acidity in 37 healthy human volunteers.

[Source: Republished with permission of Elsevier Science and Technology Journals, from ‘Integrated gastric acidity can predict the prevention of naproxen-induced gastroduodenal pathology in normal subjects’, John Plachetka, Gaetano Morelli, Carolyn Hines, Julie Borland, Alison Lyke, Diane Littlefield, Jerry D. Gardner Gastroenterology, Vol. 124, Issue 4, 2003; permission conveyed through Copyright Clearance Center, Inc.]

(b)

GI damage can include ulcers. Outline the treatment of stomach ulcers.

[3]

Markscheme

a. proton pump inhibitors reduce stomach acid «production»

b. antacid/medication to neutralize/decrease acidity

c. «lower acidity» allow GI damage/ulcers to heal

d. antibiotics for H. pylori/bacterial infection

e. diet/lifestyle changes/eliminate smoking/alcohol

f. surgery needed with extensive gastric damage

Accept “cauterization” for marking point f

[Max 3 Marks]