q4 - lausmlestep

[ArchivalUser]

A 55-year-old man complains of epigastric burning pain which is nonradiating but lasts for hours and is worsened by meals. An upper gastrointestinal series is performed, which reveals a benign-appearing, 1-cm ulcer in the antrum. There is no melena, hematochezia, fever, chills, dysphagia, odynophagia, or weight loss. He is treated with omeprazole and describes an immediate relief of pain. Which of the following should be performed?

(A) Obtain an H. pylori antibody to determine if he should be treated with antibiotics

(B) Arrange a repeat endoscopy in 4 to 6 weeks to verify healing of the ulcer

© He should avoid aspirin and NSAIDs

(D) No dietary restrictions are necessary

(E) All of the above are appropriate recommendations

[ArchivalUser]

(E) All of the above are appropriate recommendations

Explanation:

Verification of the presence of H. pylori and treatment will prevent a recurrence of H. pylori.. An endoscopy to verify healing should be performed in 4 to 6 weeks because gastric ulcers are malignant till proven otherwise.
Aspirin and NSAIDs will delay healing and should be avoided, and diet has little role in the causation and treatment of peptic ulcers.