LEK Exam: 2015 sesja jesienna, subject: Medycyna rodzinna, question nr: 3

A 46-year-old man reports to a doctor due to persistent dyspeptic disorders (early satiety after a normal-sized meal). He is not chronically ill, he does not smoke, he has been chronically using acetylsalicylic acid at a dose of 150 mg (self-treatment) for a year. What procedure should be proposed? Choose the correct answer:

A. Gastroscopy, due to the presence of alarm symptoms and further treatment depending on the result

B. Administration of PPIs and follow-up gastroscopy due to alarm symptoms in 6-8 weeks

C. H. pylori diagnosis and eradication therapy

D. Initiation of eradication therapy for H.pylori infection due to chronic NSAID use.

E. Recommend change in dietary habits, discontinuation of ASA, ad hoc use of proton pump inhibitors "on demand"

Dział: Medycyna rodzinna

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