A 44-year-old woman presents with melena and orthostasis. Endoscopy treats a bleeding duodenal ulcer with combination therapy. Which acid suppression ...

Question

A 44-year-old woman presents with melena and orthostasis. Endoscopy treats a bleeding duodenal ulcer with combination therapy. Which acid suppression strategy is recommended post-endoscopic hemostasis?

Accepted Answer

IV PPI bolus 80 mg once, then 8 mg/h infusion for 72 hours

Answer

Oral omeprazole 20 mg daily for 7 days

Answer

H₂ blocker continuous infusion for 72 hours

Answer

No acid suppression post-hemostasis

Answer

Intermittent IV PPI 20 mg q12h for 24 hours only

us-abim MCQ (SBA): Upper GI Bleeding

A 44-year-old woman presents with melena and orthostasis. Endoscopy treats a bleeding duodenal ulcer with combination therapy. Which acid suppression strategy is recommended post-endoscopic hemostasis?