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NSAID-related peptic ulcer disease — UKMLA MCQ

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HardGastroenterologyNSAID-related peptic ulcer diseaseUKMLAMRCGP AKTPSA

A person needs to continue naproxen after an NSAID-associated ulcer has healed. What gastroprotection should be prescribed?

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Correct answer: C — Prescribe PPI while naproxen treatment continues

If NSAID treatment must continue after ulcer healing, prescribe a proton-pump inhibitor and review whether the NSAID remains necessary. H. pylori eradication alone does not remove ongoing NSAID ulcer risk.

Reference: NICE CG184: Gastro-oesophageal reflux disease and dyspepsia: https://www.nice.org.uk/guidance/cg184/chapter/recommendations