A 50-year-old man has burning epigastric pain relieved by food and a positive urea breath test. What is the appropriate treatment?

Answer and explanation

Correct answer: D. Proton pump inhibitor with two antibiotics

  1. Step 1: H. pylori eradication uses a PPI with amoxicillin and clarithromycin or a similar regimen. Answer: Proton pump inhibitor with two antibiotics. Why not the others: Proton pump inhibitor alone for life, Antacids alone and Surgery to remove the stomach don't fit.

Practise more Gastroenterology, endocrinology and nephrology.

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