Card 11 / 34: A 48 year-old man is seen by his primary care physician for evaluation of epigastric abdominal pain and nausea of 3 months duration. There has been no vomiting, hematemesis, or melena (gastrointestinal bleeding). He does not use aspirin or other non-steroidal anti-inflammatory medications. His primary care doctor recommends beginning over the counter prilosec, one tablet in the morning, and she checks H.pylori serology which returns positive. Which of the following would you most likely expect to see in this patient?
1.)
Positive urea breath test
2.)
Type A gastritis
3.)
Gastrin level greater than 1000
4.)
Pernicious anemia
5.)
Numerous ulcers in the 3rd and 4th portion of the duodenum
Answer:
1.) Positive urea breath test
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Gastrointestinal Pathophysiology Self-Assessment
Author:
Dr.Laurence BailenProfessor
Tufts University School of Medicine
USA
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