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General Medicine General bda231bf

A 54-year-old man presents with gnawing epigastric pain that occurs at regular intervals daily. The pain is paially relieved by antacids and food. Upper endoscopic studies reveal a duodenal lesion. Fuhermore, a biopsy confirms the benign nature of the lesion and demonstrates numerous Helicobacter pylori bacilli. 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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