Question

When prescribing optimized bismuth quadruple therapy for H. pylori per ACG 2024, which plan is correct?

Accepted Answer

Use tetracycline 500 mg QID + metronidazole 500 mg TID-QID + bismuth QID + PPI BID for 14 days

Answer

Substitute doxycycline for tetracycline to improve adherence

Answer

Use a 10-day duration to reduce pill burden

Answer

Add clarithromycin to increase efficacy in first-line therapy

Answer

Avoid bismuth due to side effects; use PPI + amoxicillin only

Practice question

When prescribing optimized bismuth quadruple therapy for H. pylori per ACG 2024, which plan is correct?