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Uninvestigated dyspepsia — ABFM Board MCQ

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EasyGI/HepatologyUninvestigated dyspepsiaABFM Board

A 45-year-old man has 2 months of burning epigastric pain that improves briefly with meals and returns at night. He takes ibuprofen several times weekly. He has no weight loss, anemia, dysphagia, vomiting, or GI bleeding. Which of the following is the most appropriate next step?

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

In a patient younger than 60 years with dyspepsia and no alarm features, a noninvasive H. pylori test-and-treat strategy is appropriate. NSAID reduction and acid suppression can also be considered.

Reference: ACG/CAG Dyspepsia Guideline