A 38-year-old woman has epigastric pain that improves briefly with meals and wakes her at night. She takes ibuprofen most days. She has no weight

Question

A 38-year-old woman has epigastric pain that improves briefly with meals and wakes her at night. She takes ibuprofen most days. She has no weight loss or bleeding. Examination is benign. Which of the following is the most appropriate next step?

Accepted Answer

Test for Helicobacter pylori and stop NSAID use

Answer

Start pancreatic enzyme replacement

Answer

Order emergent abdominal CT

Answer

Schedule colectomy consultation

Answer

Treat with loperamide alone

Peptic ulcer disease — ABFM Board MCQ

A 38-year-old woman has epigastric pain that improves briefly with meals and wakes her at night. She takes ibuprofen most days. She has no weight loss or bleeding. Examination is benign. Which of the following is the most appropriate next step?