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Kaplan Qbank USMLE



Author8 Posts
  #1

A man working as a menager in a big company, the job is very stresfull and he is working 10-12 hours a day. He eats mostly unhealty foods (burger, fried potato etc.) and takes some amount of alcohol and smokes cigaret.
He is diagnosed as a peptic ulcus.
What is the 1 step of management?
a-tell him to change his job
b-tell him to eat healtier foods
c-tell him to quit smoking
d-tell him to quit drinking

  #2

c...quit smoking?

  #3

change his job?

  #4

the best mode of initial treament recommended is change in lifestyle, i would imagine it includes options A, B, C, D.

  #5

Quit smoking
Always the answer :wink:

  #6

where have you got this question from?the first step would be to treat the ulcer using PPI+2 anti H.pylori drugs(LAC regome for eg) and then promote lifestyle changes.

  #7

Above are all lifestyle modifications w/c is very impt. for this pt. but I think smoking cessation would be the first choice since this is the one that decreases mortality the fastest, although ur question is simple.

  #8

got this exact question in my Step 1. i chose quitting smoking

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