A 31-Year-Old Man Comes to the Office Due to Fullness

question 958

Multiple Choice

A 31-year-old man comes to the office due to fullness in the epigastric area and occasional nausea over several months.  He has had no heartburn, dysphagia, early satiety, or weight loss.  The patient has no other medical conditions and takes no medications, including over-the-counter supplements.  He does not use tobacco, alcohol, or illicit drugs.  Family history is not significant, and the patient has no known drug allergies.  Vital signs are within normal limits.  Examination shows no abnormalities.  Which of the following is the most appropriate next step in management of this patient?

• A)CT scan of the abdomen and pelvis
• B)Dietary modifications
• C)Helicobacter pylori testing
• D)Proton pump inhibitor therapy
• E)Upper endoscopy

---

Definitions:

Pollution Permits

Licenses issued by governments that allow the holder to emit a certain amount of pollutants; used as a means to control environmental pollution.

Pollution Reduction

Initiatives or approaches focused on reducing the level of pollutants emitted into the surroundings.

Pollution Permits

Certificates that allow entities to emit a certain amount of pollutants; can be bought, sold, or traded in a regulatory market.

Marginal Benefits

The additional enjoyment or advantage obtained from using one more unit of a good or service.