Question

A 45-year-old man has epigastric pain relieved by eating and occasional melena. Endoscopy shows a duodenal ulcer with H. pylori. Which therapy is first-line?

Accepted Answer

Triple therapy: PPI + clarithromycin + amoxicillin

Answer

High-dose PPI alone

Answer

H2 receptor antagonist alone

Answer

Triple therapy: PPI + metronidazole + bismuth

Answer

No eradication needed

Practice question

A 45-year-old man has epigastric pain relieved by eating and occasional melena. Endoscopy shows a duodenal ulcer with H. pylori. Which therapy is first-line?