A 45-year-old woman with persistent dyspepsia tests positive for H. pylori. She has no macrolide exposure in the U.S. Best first-line therapy?...

Question

A 45-year-old woman with persistent dyspepsia tests positive for H. pylori. She has no macrolide exposure in the U.S. Best first-line therapy?

Accepted Answer

Bismuth quadruple therapy for 14 days

Answer

Clarithromycin triple therapy for 14 days

Answer

Levofloxacin triple therapy for 7 days

Answer

Rifabutin-based therapy first-line

Answer

No treatment; symptoms likely functional

us-abfm MCQ (SBA): H. pylori-First-Line U.S.