A 38-year-old presents with dyspepsia; H. pylori stool antigen positive; no prior treatment; penicillin allergy unclear; susceptibility testing unavai...

Question

A 38-year-old presents with dyspepsia; H. pylori stool antigen positive; no prior treatment; penicillin allergy unclear; susceptibility testing unavailable. Best first-line regimen?

Accepted Answer

Optimized bismuth-based quadruple therapy 14 days

Answer

Clarithromycin triple therapy 10 days

Answer

Levofloxacin triple therapy 10 days

Answer

High-dose PPI dual therapy 7 days

Answer

Sequential therapy 10 days

us-abfm MCQ (SBA): Helicobacter pylori

A 38-year-old presents with dyspepsia; H. pylori stool antigen positive; no prior treatment; penicillin allergy unclear; susceptibility testing unavailable. Best first-line regimen?