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    SubjectsMedicineH. pylori Refractory Quadruple Therapy
    ClinicalMedicine

    H. pylori Refractory Quadruple Therapy

    1 MCQs in Medicine for NEET PG

    1 Medium
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    A 42-year-old Indian male presents with epigastric pain and dyspepsia for 6 weeks. Upper endoscopy reveals the appearance shown in the diagram — the structure marked **A** shows nodular erythematous antral mucosa with erosions. Rapid urease test is positive. The patient has failed triple therapy with PPI, clarithromycin, and amoxicillin administered 3 months ago. Which of the following is the most appropriate next-line eradication regimen for this refractory H. pylori infection?

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