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March 15, 2024

A 52-year-old patient with no past medical history presents with three months of postprandial epigastric burning

A 52-year-old patient with no past medical history presents with three months of postprandial epigastric burning. He reports no relief with antacid or acid-blocking therapies. He reports nausea without emesis, odynophagia, dysphagia, diarrhea, melena, or weight loss. He reports no personal history of PUD, but his older brother had a stomach ulcer a few years ago. There is no family history of cancer, and his initial screening colonoscopy at age 50 was normal. Vital signs are normal. Physical exam is unremarkable other than epigastric tenderness without rebound or guarding. H. pylori stool antigen is positive. Which of the following treatment regimens is most likely to be successful in treating Mr. Rodriquez? Choose the single best answer. A. Omeprazole daily, clarithromycin 500 mg twice daily, and tetracycline 500 mg three times daily for 10 days B. Omeprazole daily for eight weeks C. Omeprazole twice daily, clarithromycin 500 mg twice daily, and amoxicillin 1 g twice daily for 14 days D. Omeprazole twice daily for four weeks E. Omeprazole twice daily, tetracycline 500 mg three times daily, bismuth subcitrate four times daily, and metronidazole 500 mg twice daily for 14 days

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