Mx of H.pylori

Question 1

Name 3 non invasive investigations?

Answer 1

1. breath test
2. serological test
3. stool antigen test

Question 2

Name 3 invasive investigations?

Answer 2

1. urease test
2. histology
3. culture

Question 3

How is the breath test used?

Answer 3

1. used for diagnosis
2. used testing for eradication
3. patient MUST be off PPI otherwise false positive

Question 4

Which two tests can be used to diagnose H-pylori?

Answer 4

1. Urea breath test
2. Serological test - tests for igG antibodies against H.pylori
3. Stool antigen test

Question 5

Which two tests must be patient be off PPI for?

Answer 5

1. Stool antigen test

2. Urea breath test

Question 6

First line : Eradication therapy?

Answer 6

Triple therapy for 7 days

1. PPI
2. Amoxicillin /Metronidazole
3. Clarithromycin
4. 7 DAYS