Rotations 2.0 Episode 34 Irritable Bowel Syndrome

Episode 34 Irritable Bowel Syndrome

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Slow Trap by Anton Vlasov

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 33 Peptic Ulcer Disease

Question 1: H. pylori Eradication Therapy

A 45-year-old male patient is diagnosed with a peptic ulcer and tests positive for Helicobacter pylori. He has no history of NSAID use. According to the JSGE guidelines, which of the following is the most appropriate first-line eradication regimen?

C. Vonoprazan + amoxicillin + clarithromycin

Question 2: NSAID-Induced Ulcer Management

A 68-year-old female with osteoarthritis is on chronic NSAID therapy and has a history of peptic ulcer bleeding. According to the guidelines, which of the following is the most appropriate strategy to prevent ulcer recurrence?

C. Continue NSAIDs and add celecoxib with a proton pump inhibitor

Question 3: LDA-Related Ulcer Prevention

A 72-year-old male with coronary artery disease is prescribed low-dose aspirin (LDA). He has a history of peptic ulcer disease. According to the guidelines, which of the following is the best strategy to prevent recurrence of LDA-related peptic ulcers?

B. Vonoprazan 10 mg daily

Paper for next week: 

Amosy Ephreim M’Koma, Inflammatory Bowel Disease: Clinical Diagnosis and Surgical Treatment-Overview, Medicina 2022, 58, 567.

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