A patient with dyspepsia has recently had an upper gastrointestinal endoscopy. His histology comes back positive for Helicobacter pylori. Which TWO of the following statements about the management of this situation are true?
Serological testing is highly sensitive and specific
Incorrect
Resistance to metronidazole is common in inner city areas
Correct
Eradication therapy involves a combination of amoxicillin and a proton pump inhibitor
Serological testing can be repeated after 4 weeks to confirm eradication
Prescriptions for Heliclear (amoxicillin, clarithromycin and lansoprazole) treatment packs are charged three prescription charges
The Correct Answer
Breath testing, CLO testing and stool antigen tests are sensitive and specific. Eradication therapy involves high-dose amoxicillin, clarithromycin and lansoprazole. Serological testing takes 6?12 months to return to normal.
Serological testing is highly sensitive and specific
Incorrect
Resistance to metronidazole is common in inner city areas
Correct
Eradication therapy involves a combination of amoxicillin and a proton pump inhibitor
Serological testing can be repeated after 4 weeks to confirm eradication
Prescriptions for Heliclear (amoxicillin, clarithromycin and lansoprazole) treatment packs are charged three prescription charges
The Correct Answer
Breath testing, CLO testing and stool antigen tests are sensitive and specific. Eradication therapy involves high-dose amoxicillin, clarithromycin and lansoprazole. Serological testing takes 6?12 months to return to normal.
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