PUD Management Quiz
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Questions and Answers

What is the first-line eradication therapy for H. pylori?

  • Amoxicillin, clarithromycin/metronidazole, and a PPI (correct)
  • Proton pump inhibitors, H2-receptor antagonists, antacids, prostaglandin analogs, and mucosal barrier fortifiers
  • Different antibiotics and an extended course
  • None of the above
  • When is surgical treatment for PUD indicated?

  • None of the above
  • When there is a low level of gastric secretion
  • As a first-line treatment
  • When medical treatment fails, complications develop, or there is a high level of gastric secretion (correct)
  • What is the principle of surgical treatment for PUD?

  • To eliminate H. pylori bacteria
  • To reduce acid and pepsin secretion (correct)
  • To increase acid and pepsin secretion
  • To prevent the development of complications
  • Study Notes

    • PUD management involves non-pharmacologic and pharmacologic therapies.
    • Non-pharmacologic therapies include lifestyle modification and surgery.
    • Pharmacologic therapies include hypo-secretory drug therapy and H. pylori eradication therapy.
    • Hypo-secretory drug therapy involves proton pump inhibitors, H2-receptor antagonists, antacids, prostaglandin analogs, and mucosal barrier fortifiers.
    • H. pylori eradication therapy involves a 7-day course of triple-therapy with a PPI and dual antibiotic therapy.
    • First-line eradication therapy uses amoxicillin, clarithromycin/metronidazole, and a PPI.
    • Second-line eradication therapy uses different antibiotics and an extended course.
    • Patient allergy and previous antibiotic exposure are taken into account for H. pylori eradication therapy.
    • Indications for surgical treatment include failure of medical treatment, development of complications, and high level of gastric secretion.
    • The principle of surgical treatment is to reduce acid and pepsin secretion.

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    Description

    Test your knowledge of PUD management with this quiz! Learn about the various non-pharmacologic and pharmacologic therapies available, including hypo-secretory drug therapy and H. pylori eradication therapy. Find out which antibiotics are used in eradication therapy and when surgical treatment may be necessary. Impress your colleagues with your understanding of PUD management by taking this quiz today!

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