A 58-year-old man presents with a 3-month history of epigastric discomfort and early satiety. He has no red flag symptoms. He is not taking NSAIDs. He...

Question

A 58-year-old man presents with a 3-month history of epigastric discomfort and early satiety. He has no red flag symptoms. He is not taking NSAIDs. He is offered a test for Helicobacter pylori. Which test is recommended first-line for diagnosis according to NICE guidelines?

Accepted Answer

Urea breath test (13C)

Answer

Serology (IgG antibody test)

Answer

Stool antigen test

Answer

Endoscopy with biopsy and rapid urease test (CLO test)

Answer

Trial of high-dose Proton Pump Inhibitor (PPI)

ukmla MCQ (SBA): Helicobacter Pylori

A 58-year-old man presents with a 3-month history of epigastric discomfort and early satiety. He has no red flag symptoms. He is not taking NSAIDs. He is offered a test for Helicobacter pylori. Which test is recommended first-line for diagnosis according to NICE guidelines?