Image Based Question-67977


A 54-year-old man presents with gnawing epigastric pain that occurs at regular intervals daily. The pain is partially relieved by antacids and food. Upper endoscopic studies reveal a duodenal lesion.
Furthermore, a biopsy confirms the benign nature of the lesion and demonstrates numerous organism as shown in the picture below. Which of the following would be the most effective pharmacotherapy?

A. Aluminum or magnesium-containing antacid.

B. H2-receptor blocking agent.

C. Prostaglandin analog.

D. Proton pump inhibitor plus antibiotic.


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