Question

A 61-year-old woman with obesity and chronic knee pain takes naproxen daily and presents with melena. Endoscopy shows bleeding peptic ulcer. After hemostasis, secondary prevention includes:

Accepted Answer

Daily PPI and avoidance of NSAIDs; consider COX-2 + PPI if anti-inflammatory required

Answer

Resume NSAIDs with H2 blocker

Answer

No acid suppression needed

Answer

Aspirin for pain

Answer

Sucralfate alone

Practice question

A 61-year-old woman with obesity and chronic knee pain takes naproxen daily and presents with melena. Endoscopy shows bleeding peptic ulcer. After hemostasis, secondary prevention includes: