A 68-year-old with recurrent duodenal ulcer bleeding related to NSAID use is counseled at discharge. Which is the best recommendation?...

Question

A 68-year-old with recurrent duodenal ulcer bleeding related to NSAID use is counseled at discharge. Which is the best recommendation?

Accepted Answer

Avoid NSAIDs; consider COX-2 selective plus PPI if no alternative

Answer

Resume nonselective NSAID with bedtime H2 blocker

Answer

Stop PPI after 3 days

Answer

Use aspirin instead of NSAID

Answer

Use sucralfate alone for prophylaxis

us-abfm MCQ (SBA): Upper GI Bleed-Secondary Prevention