A 60-year-old woman presents with burning epigastric pain that worsens with fasting and improves with meals. She takes NSAIDs for osteoarthritis. Endo...

Question

A 60-year-old woman presents with burning epigastric pain that worsens with fasting and improves with meals. She takes NSAIDs for osteoarthritis. Endoscopy reveals a 1 cm ulcer in the duodenal bulb. Helicobacter pylori testing is positive. What is the most appropriate treatment?

Accepted Answer

Triple therapy with PPI, clarithromycin, and amoxicillin

Answer

Proton pump inhibitor alone

Answer

H2 receptor blocker alone

Answer

Antacids as needed only

Answer

Bismuth subsalicylate alone

us-abfm MCQ (SBA): Helicobacter pylori-associated duodenal ulcer

A 60-year-old woman presents with burning epigastric pain that worsens with fasting and improves with meals. She takes NSAIDs for osteoarthritis. Endoscopy reveals a 1 cm ulcer in the duodenal bulb. Helicobacter pylori testing is positive. What is the most appropriate treatment?