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 Best of Five 2.91

 

   

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BOF: 2.91

A 60-year-old female is admitted with a history of melaena. She has been taking ibuprofen tablets for pain relief as she has osteoarthritis.

On examination she is pale, pulse rate 110 beats per minute, blood pressure 90/60

Hb 9.3 g/dL

She undergoes endoscopy and the endoscopist reports that there was a chronic anterior duodenal ulcer with a visible vessel. He has injected the ulcer with 1: 10,000 adrenaline and used heater probe coagulation on the vessel.

Which of the following treatment regimes would prevent rebleeding

a)      Helicobacter pylori eradication

b)      Omeprazole infusion for 72 hours

c)      Intravenous pantoprazole daily bolus

d)      Ranitidine infusion

e)      Oral omeprazole in high dose

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