A male patient presents with complaints of chronic stomach pain and is diagnosed with a Helicobacter pylori infection. The physician decides to initiate triple therapy. Which combination of medications is most appropriate for this treatment?
Amoxicillin, Clarithromycin, and Omeprazole
Ciprofloxacin, Metronidazole, and Ranitidine
Erythromycin, Amoxicillin, and Famotidine
Metronidazole, Tetracycline, and Bismuth subsalicylate
The Correct Answer is A
A. Amoxicillin, Clarithromycin, and Omeprazole: This is the most common combination used in triple therapy for H. pylori eradication. It includes two antibiotics (Amoxicillin and Clarithromycin) to eliminate the bacteria, and a proton pump inhibitor (Omeprazole) to reduce stomach acid and promote healing.
B. Ciprofloxacin, Metronidazole, and Ranitidine: Ciprofloxacin and Metronidazole are not typically part of the standard regimen for H. pylori infection. Ranitidine is an H2-receptor antagonist, not commonly used in current treatment protocols for H. pylori.
C. Erythromycin, Amoxicillin, and Famotidine: Erythromycin is not part of the standard H. pylori treatment regimen, and Famotidine is an H2-receptor antagonist, which is less effective than proton pump inhibitors for H. pylori.
D. Metronidazole, Tetracycline, and Bismuth subsalicylate: This combination is used in quadruple therapy for H. pylori infections, but it is not the most common initial treatment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Costovertebral angle tenderness: Costovertebral angle tenderness is more indicative of pyelonephritis (kidney infection) rather than cystitis, as it signals an upper urinary tract infection.
B. Suprapubic tenderness: Suprapubic tenderness is a classic sign of cystitis. This symptom, combined with dysuria and increased urinary frequency, strongly supports the diagnosis.
C. Abdominal distention: Abdominal distention is not typically associated with cystitis. It may suggest other conditions like bowel obstruction or ascites.
D. Lower extremity edema: Lower extremity edema is not a common finding in cystitis. It is more associated with systemic conditions like heart failure or kidney disease.
Correct Answer is C
Explanation
A. Crohn's disease causes continuous inflammation of the mucosa and sub-mucosa of the colon and rectal linings: This description is more applicable to ulcerative colitis, which involves continuous inflammation and primarily affects the colon and rectum, not Crohn's disease, which can affect any part of the GI tract.
B. Crohn's disease is characterized by a transmural granulomatous inflammation that can affect any part of the gastrointestinal tract: While this is an accurate medical description of Crohn’s disease, it uses technical language that may be difficult for a patient to understand.
C. Crohn's disease has the appearance of a patchwork quilt with some areas that are clear and some with sores. This description provides a clear and visual explanation of the nature of Crohn’s disease, which typically affects the gastrointestinal tract in a "skip lesion" pattern, where some areas are inflamed (sores), and others appear normal (clear areas).
D. Crohn's disease looks like what would appear to be a second-degree burn in the colon and rectum areas only: This description is inaccurate for Crohn’s disease, as it implies the disease is limited to the colon and rectum, which is not the case. Crohn’s can affect any part of the gastrointestinal tract from the mouth to the anus.
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