A54-year-old male is diagnosed with peptic ulcer disease. this condition is most likely caused by:
a) hereditary hormonal imbalances with high gastrin levels
b) breaks in the mucosa and presence of corrosive secretions
c) decreased vagal activity and vascular engorgement
d) gastric erosions related to high ammonia levels and bile reflux

The answer is b) Breaks in the mucosa and presence of corrosive secretions

Explanation:

The peptic ulcer disease is likely caused by the weakening of the mucosa coating by H. Pylori bacteria (or other types of drugs), and the passage of corrosive secretions (such as acid and pepsin) to the lining that is beneath the mucosa coating.

b is the correct answer

i say that the answer is 'd'