GI

Question 1

most common cause of epigastric pain with no other anomalies

nothing on endoscopy

Answer 1

non-ulcer dyspepsia

treat with PPI only-no need to treat for H pylori

Question 2

epigastric pain worse with food

Answer 2

gastric ulcer

Question 3

epigastric pain improves with food

Answer 3

duodenal ulcer

Question 4

weight loss and epigastric pain

Answer 4

cancer or gastric ulcer

Question 5

tenderness plus epigastric pain

Answer 5

pancreatitis

Question 6

bad taste, cough, hoarse and epigastric pain

Answer 6

GERD

Question 7

diabetes, bloating and epigastric pain

Answer 7

gastroparesis

Question 8

diagnosis of all epigastric pain requires…

Answer 8

endoscopy

Question 9

treatment of choice for epigastric pain

Answer 9

proton pump inhibitors

Question 10

Treatment of H. pylori

Answer 10

PPI
clarithromycin
amoxicillin

alternate: metronidazole, tetracucline

add bismuth if no resolution
confirm resolution with: stool antigen or breath test (NOT serology- will always be positive)