ABIM GI Practice Questions - ABIM Gastroenterology Certification Exam

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Per the 2024 ACG guideline, what is the preferred first-line empiric regimen for Helicobacter pylori infection in the United States given high clarithromycin resistance?

Bismuth quadruple therapy (PPI + bismuth + tetracycline + metronidazole) for 10-14 days Clarithromycin triple therapy (PPI + clarithromycin + amoxicillin) for 7 days Levofloxacin triple therapy for 7 days Rifabutin triple therapy for 14 days

Correct Answer:

Bismuth quadruple therapy (PPI + bismuth + tetracycline + metronidazole) for 10-14 days

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