KROK 1 2021 – Question 96 · KROK (Medicine) · Pharmacology

A 35-year-old woman was taking acetylsalicylic acid to relieve the pain in her carious tooth. After a time, she noticed digestive disorders, stomach heaviness, and heartburn. Why does this drug aggravate the gastric condition?

  1. A. Blocks PDE of smooth muscles
  2. B. Inhibits the activity of COX-1 in the stomach
  3. C. Increases hydrochloric acid secretion
  4. D. Disrupts the microcirculation in the gastrointestinal mucosa
  5. E. Increases pepsin activity
Hint

Consider which locally formed mediators keep the stomach lining supplied with mucus and bicarbonate, and what happens when their synthesising enzyme is blocked.

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