Question

A 50-year-old woman on long-term high-dose NSAIDs for osteoarthritis presents with epigastric pain and iron deficiency anaemia. She is found to have a 1 cm clean-based duodenal ulcer on endoscopy. What is the MOST appropriate management regarding NSAID use?

Accepted Answer

Stop NSAIDs and start PPI therapy

Answer

Continue NSAIDs without change

Answer

Switch NSAID to low-dose aspirin

Answer

Add sucralfate and continue NSAIDs

Answer

Continue NSAIDs with long-term H2 blocker only

Practice question

A 50-year-old woman on long-term high-dose NSAIDs for osteoarthritis presents with epigastric pain and iron deficiency anaemia. She is found to have a 1 cm clean-based duodenal ulcer on endoscopy. What is the MOST appropriate management regarding NSAID use?