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Dyspepsia — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareDyspepsiaUSMLE Step 3

A 41-year-old man has epigastric burning and early satiety for 2 months. He has no weight loss, dysphagia, bleeding, vomiting, or family history of gastric cancer. He has not taken NSAIDs. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Test for Helicobacter pylori and treat if positive

Patients younger than 60 years with dyspepsia and no alarm features should undergo noninvasive H pylori testing and treatment if positive.

Reference: ACG/CAG Dyspepsia Guideline