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A 25-year old guy complains to his doctor of indistinct gastric discomfort that has been troubling him daily for several years. His symptoms
are never very severe, but seem to be somewhat relieved by eating food.

Question 1 of 5

The patient's doctor orders a screening test, which is later reported as positive, for antibodies directed against an organism known to
cause chronic gastritis. Which of the following organisms was most likely identified?

A.Entamoeba histolytica
B.Escherichia coli
C.Helicobacter pylori
D.Pseudomonas aeruginosa
E.Salmonella typhi Question 2 of 5
The patient undergoes esophagogastroduodenoscopy for further evaluation of his symptoms. Upon entering the belly, the endoscopist
sees that the belly has multiple coarse folds. These are called which of the following?
/ A. Ampulla
/ B. Haustra
/ C. Piicae
/ D. Rugae
/ E. Villi

Question 3 of 5

The stomach is found to be diffusely erythematous, with the worst areas being in the antrum. No focal lesions are noted. Endoscopic biopsy
taken from the antral stomach demonstrates the organisms to which the patient has made antibodies. Where would these organisms be most
Iikely found in the histological specimen?
/ A. Between fibrocytes in the submucosa
/ B. Between the epithelial cells of the mucosal lining
/ C. In endothelial cells
/ D. In the mucus layer above the mucosa
/ E. Within macrophage cytoplasm in the submucosa
Question 4 of 5

Following the report of the biopsy studies, antibiotic therapy is begun. Which of the following regimens would be most likely used to eradicate
the organism?
/ A. Bismuth subsalicylate and tetracycline
/ B. Ciarithromycin alone
/ C. Metronidazole alone
/ D. Ranitidine bismuth citrate and clarithromycin
/ E. Tetracycline and metronidazole

Question 5 of 5

The patient's physician also considered using a therapeutic regime that includes a proton pump inhibitor. Which of the following would he most
Iikely prescribe?
/ A. Filgrastim
/ B. Fiumazenil
/ C. Methimazole
/ D. Omeprazole
/ E. Tamoxifen