Question

A 48-year-old patient with peptic ulcer disease tests positive for H. pylori. Local clarithromycin resistance is high and susceptibility is unknown. What is the recommended first-line regimen?

Accepted Answer

Optimized bismuth quadruple therapy for 14 days

Answer

Clarithromycin triple therapy for 10 days

Answer

Levofloxacin triple therapy for 7 days

Answer

High-dose PPI plus amoxicillin dual therapy for 7 days

Answer

Metronidazole monotherapy for 14 days

Practice question

A 48-year-old patient with peptic ulcer disease tests positive for H. pylori. Local clarithromycin resistance is high and susceptibility is unknown. What is the recommended first-line regimen?