Which of the following is the most appropriate test to ensure H. pylori eradication? A. Rapid urease test B. Urea breath test C. Culture of gastric mucosa D. Repeat IgA and IgG aga... Which of the following is the most appropriate test to ensure H. pylori eradication? A. Rapid urease test B. Urea breath test C. Culture of gastric mucosa D. Repeat IgA and IgG against H. pylori
Understand the Problem
The question presents a clinical case involving a 35-year-old woman with chronic gastric pain and a positive test for Helicobacter pylori. It then asks which test is most appropriate to ensure that the H. pylori infection has been eradicated after treatment.
Answer
Urea breath test
The final answer is Urea breath test
Answer for screen readers
The final answer is Urea breath test
More Information
The urea breath test is considered the most appropriate noninvasive method to confirm Helicobacter pylori eradication, as it accurately detects urease activity specific to H. pylori.
Tips
Mistaking the rapid urease test as suitable for eradication assessment, though it primarily detects presence. Urea breath test is for eradication confirmation.
Sources
- What Is New in Helicobacter pylori Diagnosis. An Overview - PMC - pmc.ncbi.nlm.nih.gov
- Dyspepsia: When and How to Test for Helicobacter pylori Infection - pmc.ncbi.nlm.nih.gov
- Helicobacter Pylori Infection Testing - Medical Clinical Policy Bulletins - aetna.com
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