A 76-year-old man with a history of peptic ulcer disease presents with epigastric pain and weight loss. What H. pylori testing strategy is recommended...

Question

A 76-year-old man with a history of peptic ulcer disease presents with epigastric pain and weight loss. What H. pylori testing strategy is recommended in primary care before starting eradication therapy?

Accepted Answer

Urea breath test or stool antigen test after stopping PPIs for at least 2 weeks.

Answer

Serological IgG testing only regardless of PPI use.

Answer

Gastric biopsy for culture in all cases.

Answer

No testing; empirical eradication for all dyspepsia.

Answer

Urine antigen test.

uk-plab-1 MCQ (SBA): Helicobacter pylori infection

A 76-year-old man with a history of peptic ulcer disease presents with epigastric pain and weight loss. What H. pylori testing strategy is recommended in primary care before starting eradication therapy?