A 45-year-old man presents with recurrent episodes of epigastric pain, worse at night and relieved by eating. He is a smoker. He denies NSAID use. He ...

Question

A 45-year-old man presents with recurrent episodes of epigastric pain, worse at night and relieved by eating. He is a smoker. He denies NSAID use. He is under 55 and has no alarm symptoms. What is the most appropriate management strategy?

Accepted Answer

Test and treat for Helicobacter pylori (e.g., Urea Breath Test or Stool Antigen Test)

Answer

Urgent Upper GI Endoscopy (OGD)

Answer

Abdominal ultrasound

Answer

CT Abdomen

Answer

Barium meal

ukmla MCQ (SBA): Peptic Ulcer Disease / H. pylori

A 45-year-old man presents with recurrent episodes of epigastric pain, worse at night and relieved by eating. He is a smoker. He denies NSAID use. He is under 55 and has no alarm symptoms. What is the most appropriate management strategy?