H Pylori
harry206 - 05-06-09 16:50 Bookmark and Share

A 32-year-old woman presents with a 10-month history of an intermittent
burning sensation in the epigastrium that is sometimes related to eating. She has
heard about bacteria that can cause gastrointestinal (GI) symptoms. She has had no
change in her weight and denies dysphagia. Her laboratory tests are normal.
The patient has a positive H. pylori antibody blood test. She is compliant with the medical regimen you prescribe. Although her symptoms initially respond, she returns to see you six months later
with the same symptoms. Which of the following statements is correct ?






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Page 1
#1
Re: H Pylori
usmlefever3 - 05-07-09 01:45

My answer is: a.

#2
Re: H Pylori
bingousmle - 05-07-09 03:52

My answer is: c.

#3
Re: H Pylori
ramyasri - 05-10-09 23:46

My answer is: c.

#4
Re: H Pylori
meduploader - 05-11-09 12:50

My answer is: c.

#5
Re: H Pylori
sailman13 - 05-12-09 11:53

My answer is: c.

#6
Re: H Pylori
sackatdoc - 05-14-09 21:19

My answer is: a.

#7
Re: H Pylori
InSitu - 05-16-09 14:36

My answer is: c.

#8
Re: H Pylori
InSitu - 05-16-09 14:38

any extended explantion why others where incorrect?

#9
Re: H Pylori
rocksfrow - 05-16-09 15:07

My answer is: c.

#10
Re: H Pylori
ammara - 05-16-09 15:14

My answer is: c.

#11
Re: H Pylori
yehia82 - 05-19-09 10:28

My answer is: c.

#12
Re: H Pylori
zoah2005 - 05-19-09 17:34

My answer is: d.

#13
Re: H Pylori
drhumaira - 05-19-09 18:12

My answer is: c.

#14
Re: H Pylori
zkadhem - 05-19-09 20:13

My answer is: d.

#15
Re: H Pylori
zkadhem - 05-19-09 20:15

So, does it mean that dyspepsia doesn't improve with eradication of H.Pylori?
I feel like there is some flaw in this question, although I agree 100% that urea breath test can be used to document failure of the eradication.

#16
Re: H Pylori
84ahsan - 05-20-09 15:36

My answer is: c.

#17
Re: H Pylori
jamesbond - 05-21-09 07:00

My answer is: b.

#18
Re: H Pylori
fas148 - 05-21-09 11:43

My answer is: c.

#19
Re: H Pylori
docbul - 05-25-09 13:32

My answer is: c.

#20
Re: H Pylori
poluashok - 05-25-09 16:37

My answer is: c.

#21
Re: H Pylori
angella - 05-26-09 00:12

My answer is: a.

#22
Re: H Pylori
shahprasun - 06-02-09 16:22

My answer is: c.

#23
Re: H Pylori
millie - 06-04-09 07:06

My answer is: c.

#24
Re: H Pylori
shujayat - 06-05-09 01:43

My answer is: c.

#25
Re: H Pylori
omojesu - 06-12-09 02:33

My answer is: d.


serology 4 h.pylori only indicates exposure.cant diff btw recent infection,re-infection or past infxn.

#26
Re: H Pylori
nona76 - 06-12-09 10:57

My answer is: c.

#27
Re: H Pylori
sharkawiahmed - 06-12-09 15:02

My answer is: a.

#28
Re: H Pylori
docraj - 06-13-09 16:52

My answer is: c.

#29
Re: H Pylori
caraga - 06-14-09 09:51

My answer is: b.

#30
Re: H Pylori
crazyserb - 06-14-09 10:34

My answer is: c.

#31
Re: H Pylori
samer06 - 06-15-09 14:10

My answer is: c.

#32
Re: H Pylori
obedjohn - 06-17-09 01:27

My answer is: a.

#33
Re: H Pylori
conym5 - 06-17-09 01:27

My answer is: c.

#34
Re: H Pylori
saurabhsingh - 09-27-09 11:17

My answer is: e.

#35
Re: H Pylori
reksarma - 09-28-09 11:05

My answer is: c.

#36
Re: H Pylori
anukaka - 09-28-09 11:47

My answer is: c.

#37
Re: H Pylori
mtniharika - 09-29-09 16:27

My answer is: c.

#38
Re: H Pylori
romidahal1 - 09-30-09 09:03

My answer is: b.

#39
Re: H Pylori
ajitelaprolu - 09-30-09 10:06

My answer is: c.

#40
Re: H Pylori
amaniagz - 10-07-09 18:22

My answer is: c.

#41
Re: H Pylori
cadaku - 10-07-09 18:25

My answer is: c.

#42
Re: H Pylori
sarthak - 10-09-09 17:22

My answer is: c.

#43
Re: H Pylori
drkusumagayathri - 10-09-09 22:15

My answer is: c.

#44
Re: H Pylori
manthripragada - 10-11-09 14:37

My answer is: c.

#45
Re: H Pylori
brexin - 10-11-09 14:45

My answer is: c.

#46
Re: H Pylori
afinaish - 10-11-09 15:32

My answer is: c.

#47
Re: H Pylori
dinmenace - 10-11-09 17:22

My answer is: c.

#48
Re: H Pylori
vaishali - 10-12-09 10:40

My answer is: a.

#49
Re: H Pylori
ysemak - 10-15-09 12:35

My answer is: b.

#50
Re: H Pylori
taralkparikh - 10-21-09 06:42

My answer is: c.

#51
Re: H Pylori
vernette - 11-08-09 08:52

My answer is: c.

#52
Re: H Pylori
tonion - 11-16-09 12:47

My answer is: c.

#53
Re: H Pylori
dadukids - 12-05-09 08:53

My answer is: a.

#54
Re: H Pylori
tianjin - 12-05-09 20:02

My answer is: c.

#55
Re: H Pylori
medusmle01 - 12-21-09 07:51

My answer is: c.

#56
Re: H Pylori
demolition - 12-21-09 09:33

My answer is: c.

#57
Re: H Pylori
oldman - 01-11-10 08:05

My answer is: c.

#58
Re: H Pylori
komalz - 02-01-10 19:49

My answer is: e.

#59
Re: H Pylori
tamaramahmood - 02-01-10 20:27

My answer is: d.

#60
Re: H Pylori
tahiraraees - 02-07-10 14:37

My answer is: c.

#61
Re: H Pylori
shahra - 02-17-10 02:12

My answer is: c.

#62
Re: H Pylori
drsadia - 02-17-10 02:15

My answer is: c.

#63
Re: H Pylori
leminesow - 02-17-10 06:34

My answer is: d.

#64
Re: H Pylori
r4321qa - 02-17-10 07:49

My answer is: c.

#65
Re: H Pylori
noor2007 - 02-17-10 08:16

My answer is: e.

#66
Re: H Pylori
dana44 - 02-19-10 18:28

My answer is: c.

#67
Re: H Pylori
nothing - 02-20-10 03:29

My answer is: c.

#68
Re: H Pylori
neharanjan1983 - 02-20-10 07:45

My answer is: c.

#69
Re: H Pylori
hind708 - 03-03-10 08:56

My answer is: d.

#70
Re: H Pylori
bepatriotic - 03-07-10 13:16

My answer is: c.

#71
Re: H Pylori
navid1352 - 03-08-10 01:47

My answer is: a.

#72
Re: H Pylori
sandeep12 - 03-08-10 05:07

My answer is: c.

#73
Re: H Pylori
surgeonaspirant - 03-08-10 13:19

My answer is: d.

#74
Re: H Pylori
pawan238 - 03-08-10 13:48

My answer is: a.

#75
Re: H Pylori
dreguieg - 03-08-10 19:47

My answer is: c.

#76
Re: H Pylori
ammulufy - 03-13-10 20:19

My answer is: e.


Once H.Pylori is confirmed to b d causative agent,d patient is immediately put on H.Pylori eradication therapy which is most of the times successful.....if there is recurrence of symptoms its indication dat the test done initially was false positive....... hence a is wrong.......as for b,even if H.Pylori is completely eradicated d IgG levels continue to remain for a period of time even after d eradication n its mere presence is not indicative of active infection......in c,its urea breath test n not urease breath test......dyspepsia can b present even if eradication is complete....hence the answer is e.

#77
Re: H Pylori
ammulufy - 03-13-10 20:23

As already told its Urea breath test n not urease breath test....though basic principle of the test is dat H.Pylori contains d enzyme urease whch lyses Urea into Ammonia n CO2......its called Urea breath test bcos radioactively labelled carbon as part of Urea is made to be inhaled by the patient which comes out in the form of radioactively labelled CO2 whch is tested by d litmus paper whch turns red as CO2 is acidic.

#78
Re: H Pylori
victoria - 03-14-10 00:46

My answer is: b.

#79
Re: H Pylori
babsin - 03-14-10 07:39

My answer is: c.

#80
Re: H Pylori
residencyrace - 05-30-10 10:15

My answer is: c.

#81
Re: H Pylori
nikoskostas - 05-30-10 12:38

My answer is: e.

#82
Re: H Pylori
javeria - 05-31-10 11:11

My answer is: c.

#83
Re: H Pylori
victoria12 - 05-31-10 12:03

My answer is: a.

#84
Re: H Pylori
samyou - 06-02-10 16:31

My answer is: a.

#85
Re: H Pylori
lihuazou - 06-07-10 14:24

My answer is: c.

#86
Re: H Pylori
babbu5508 - 06-07-10 15:33

My answer is: c.


Which of the following statements is correct ?
c. The urease breath test is an ideal test to document failure of eradication

#87
Re: H Pylori
bingousmle - 06-08-10 00:21

am wondering if there is something wrong with the software since the questions are getting posted in the answer thread meant for writing explanations to support answers

#88
Re: H Pylori
usmlerose - 06-08-10 09:18

My answer is: c.

#89
Re: H Pylori
aliabtahi - 06-09-10 03:38

My answer is: c.

#90
Re: H Pylori
dryogi - 06-10-10 03:31

My answer is: c.

#91
Re: H Pylori
zubiashoaib - 06-15-10 19:49

My answer is: c.

#92
Re: H Pylori
amnaabdullah - 06-16-10 00:16

My answer is: e.

#93
Re: H Pylori
dranju86 - 06-16-10 01:10

My answer is: c.

#94
Re: H Pylori
rescue2011 - 04-17-11 20:43

My answer is: d.

#95
Re: H Pylori
sudha2015 - 04-18-11 04:06

My answer is: c.

#96
Re: H Pylori
babbu5508 - 04-30-11 21:57

.urease breath test is based upon the ability of H. pylori to convert urea to ammonia and carbon dioxide. Urea breath tests are recommended in leading society guidelines as a preferred non-invasive choice for detecting H. pylori before and after treatment

#97
Re: H Pylori
tariqahmed110 - 05-01-11 09:48

My answer is: e.

#98
Re: H Pylori
medical1212 - 05-01-11 09:54

My answer is: c.

#99
Re: H Pylori
shez143 - 05-01-11 10:29

My answer is: a.

#100
Re: H Pylori
juniapapillon - 05-07-11 21:59

My answer is: a.

#101
Re: H Pylori
robin4u - 05-10-11 12:45

My answer is: c.

#102
Re: H Pylori
drnatraj - 05-10-11 16:00

My answer is: a.

#103
Re: H Pylori
gunner87 - 05-22-11 14:05

My answer is: c.

#104
Re: H Pylori
Youngdoctor - 05-28-11 03:12

My answer is: c.

#105
Re: H Pylori
bluesea - 06-03-11 23:07

My answer is: c.

#106
Re: H Pylori
adtruax - 06-04-11 18:06

My answer is: c.

#107
Re: H Pylori
mathewjm - 06-11-11 15:08

My answer is: d.

#108
Re: H Pylori
philomena - 06-12-11 05:37

My answer is: c.

#109
Re: H Pylori
haytham - 06-23-11 07:35

My answer is: e.

#110
Re: H Pylori
farag975 - 06-24-11 15:39

My answer is: d.

#111
Re: H Pylori
mdkp1z - 08-12-11 19:55

My answer is: c.

#112
Re: H Pylori
inferno0790 - 08-12-11 23:16

My answer is: c.

#113
Re: H Pylori
gogoooo - 08-13-11 05:03

My answer is: a.

#114
Re: H Pylori
ramana - 08-25-11 11:57

My answer is: e.

#115
Re: H Pylori
finza911 - 08-28-11 08:34

My answer is: e.

#116
Re: H Pylori
k90157 - 09-04-11 12:38

My answer is: c.

#117
Re: H Pylori
usmleus - 09-05-11 16:37

My answer is: c.

#118
Re: H Pylori
ag2011n - 09-13-11 14:19

My answer is: c.

#119
Re: H Pylori
doctorst - 09-14-11 00:48

My answer is: b.

#120
Re: H Pylori
ahmed1 - 09-24-11 15:38

My answer is: c.

#121
Re: H Pylori
kalampakas - 12-05-11 18:13

My answer is: c.

#122
Re: H Pylori
seeagain - 12-11-11 22:56

My answer is: c.

#123
Re: H Pylori
tmdnassri1977 - 12-21-11 13:59

My answer is: c.

#124
Re: H Pylori
chowdhury84 - 12-22-11 16:36

My answer is: c.

#125
Re: H Pylori
hassan123 - 03-14-12 13:19

My answer is: c.

#126
Re: H Pylori
alialghaarbawy - 03-14-12 21:53

My answer is: d.

#127
Re: H Pylori
shaiza - 03-31-12 19:36

My answer is: b.

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