A 38-year-old woman has 2 months of epigastric burning and postprandial fullness. She has no vomiting, bleeding, dysphagia, weight loss, or family

Question

A 38-year-old woman has 2 months of epigastric burning and postprandial fullness. She has no vomiting, bleeding, dysphagia, weight loss, or family history of gastric cancer. She does not use NSAIDs. Vital signs and examination are normal. Which of the following is the most appropriate at this time?

Accepted Answer

Test for Helicobacter pylori and treat if positive

Answer

Order abdominal CT angiography

Answer

Perform immediate endoscopy

Answer

Check serum gastrin first

Answer

Start chronic opioid therapy

Dyspepsia H pylori — USMLE Step 3 MCQ

A 38-year-old woman has 2 months of epigastric burning and postprandial fullness. She has no vomiting, bleeding, dysphagia, weight loss, or family history of gastric cancer. She does not use NSAIDs. Vital signs and examination are normal. Which of the following is the most appropriate at this time?