A 47-year-old man presents with 3 months of epigastric discomfort relieved by food, with no weight loss, vomiting or alarm features. He takes NSAIDs o...

Question

A 47-year-old man presents with 3 months of epigastric discomfort relieved by food, with no weight loss, vomiting or alarm features. He takes NSAIDs occasionally. According to Canadian dyspepsia management, what is an appropriate initial strategy?

Accepted Answer

Non-invasive H. pylori testing with treatment if positive

Answer

Immediate gastroscopy in all patients >=40 years

Answer

Empiric long-term high-dose PPI without evaluation

Answer

Routine CT abdomen

Answer

Start opioids for pain control

ca-mccqe1 MCQ (SBA): Dyspepsia

A 47-year-old man presents with 3 months of epigastric discomfort relieved by food, with no weight loss, vomiting or alarm features. He takes NSAIDs occasionally. According to Canadian dyspepsia management, what is an appropriate initial strategy?