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

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Definitions:

Personal Defense

Legal strategies or justifications used by an individual to excuse or justify their actions in a civil or criminal legal case.

Holder In Due Course

A person who has acquired a negotiable instrument in good faith and for value, and thus has certain rights above the original parties to the instrument.

Restrictive Indorsement

A limitation placed on the transfer of a negotiable instrument, such as a check, which specifies the conditions under which it can be further negotiated.

Merchants Bancorp

An American banking company involved in providing banking and financial services.