You Examine a Patient Who Is Complaining of Belching (Burping)

question 74

Multiple Choice

You examine a patient who is complaining of belching (burping) , bloating, and some vomiting. She also has some abdominal discomfort which she describes as a dull, burning pain that is worse when she is hungry and is often relieved when she takes antacids. You suspect that she may have Helicobacter pylori gastritis, and send her for a urea breath test. The breath test is positive; based on this, you get the patient's stool tested for blood, and you send her for an endoscopy, during which a biopsy is taken. Your diagnosis is confirmed by the results of these tests and that she does indeed have H. pylori.
-You prescribe two antibiotics for your patient, to be taken at the same time. You explain that two medications are used 

• A) to prevent your patient from developing antibiotic resistance.
• B) because H. pylori makes endospores and is very resistant.
• C) because viruses are always treated with two different antibiotics.
• D) because H. pylori forms cysts that are difficult to destroy.
• E) to prevent the H. pylori from developing antibiotic resistance.

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