Which is the most appropriate initial treatment for Helicobacter pylori duodenal ulcer?
Answer and explanation
Correct answer: D. A proton pump inhibitor with clarithromycin and amoxicillin
- Step 1: Helicobacter pylori duodenal ulcer is treated with A proton pump inhibitor with clarithromycin and amoxicillin.
Answer
A proton pump inhibitor with clarithromycin and amoxicillin.
Why not the others: 'Antacids alone': they relieve symptoms but do not eradicate the organism. 'Single-agent amoxicillin': single antibiotics do not eradicate H. pylori reliably. 'Long-term oral prednisolone': steroids can worsen ulcers.
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