A 45-year-old woman presents with epigastric pain and is found to have a 2 cm gastric ulcer on endoscopy. Biopsy is positive for Helicobacter pylori. ...

Question

A 45-year-old woman presents with epigastric pain and is found to have a 2 cm gastric ulcer on endoscopy. Biopsy is positive for Helicobacter pylori. According to Canadian H. pylori guidelines, what is the recommended first-line eradication regimen in areas with high clarithromycin resistance?

Accepted Answer

Bismuth quadruple therapy (PPI, bismuth, tetracycline, metronidazole) for 10-14 days

Answer

PPI plus amoxicillin plus clarithromycin for 7 days

Answer

Metronidazole monotherapy

Answer

No treatment if symptoms improve with PPI alone

Answer

Short-course PPI only

ca-mccqe1 MCQ (SBA): Helicobacter pylori infection

A 45-year-old woman presents with epigastric pain and is found to have a 2 cm gastric ulcer on endoscopy. Biopsy is positive for Helicobacter pylori. According to Canadian H. pylori guidelines, what is the recommended first-line eradication regimen in areas with high clarithromycin resistance?