A 49-year-old man has epigastric pain and a positive Helicobacter pylori test. He has NKDA and takes no regular medicines. The GP asks whether the

Question

A 49-year-old man has epigastric pain and a positive Helicobacter pylori test. He has NKDA and takes no regular medicines. The GP asks whether the proposed regimen of omeprazole, amoxicillin and clarithromycin is reasonable. What is the most appropriate alternative?

Accepted Answer

Confirm it is an appropriate eradication regimen if local resistance guidance supports it.

Answer

Recommend loperamide with clarithromycin to improve eradication.

Answer

Advise delaying antibiotics until endoscopy confirms cancer.

Answer

Replace amoxicillin with fluconazole because H. pylori is fungal.

Answer

Advise omeprazole alone because antibiotics are avoided in dyspepsia.

H. pylori eradication — GPhC CRA MCQ

A 49-year-old man has epigastric pain and a positive Helicobacter pylori test. He has NKDA and takes no regular medicines. The GP asks whether the proposed regimen of omeprazole, amoxicillin and clarithromycin is reasonable. What is the most appropriate alternative?