Acute_Ulcer_Flashcards

Question 1

What is the initial management for an active bleeding ulcer?

Answer 1

Endoscopy +/- blood transfusion and PPI.

Question 2

What additional treatments may be required for an active bleeding ulcer besides endoscopy?

Answer 2

Surgery or embolization may be required.

Question 3

What is the treatment for a non-bleeding ulcer that is H. pylori negative?

Answer 3

Treat the underlying cause and administer PPI.

Question 4

What is the second-line treatment for a non-bleeding ulcer that is H. pylori negative?

Answer 4

The second-line treatment is an H2 antagonist.

Question 5

What is the treatment for a non-bleeding ulcer that is H. pylori positive?

Answer 5

H. pylori eradication triple therapy for 7 days.

Question 6

What medications are included in the H. pylori eradication triple therapy?

Answer 6

PPI BD + clarithromycin 500mg BD + amoxicillin 1g BD.

Question 7

What is the recommended treatment for children with suspected peptic ulceration?

Answer 7

Proton-pump inhibitors (e.g. lansoprazole 30 mg).

Question 8

What should be done if children with suspected peptic ulceration fail to respond to proton-pump inhibitors?

Answer 8

An upper GI endoscopy should be performed.

Question 9

If an upper GI endoscopy is normal in children with suspected peptic ulceration, what is the likely diagnosis?

Answer 9

Functional dyspepsia is likely diagnosed.

Question 10

What is functional dyspepsia likely a variant of?

Answer 10

Functional dyspepsia is probably a variant of IBS but affects the upper GI tract.