阿摩線上測驗
34.根除Helicobacter pylori 感染之最佳bismuth-based 四合一療法之組合為何？
(A)Omeprazole 20 mg 一天一次＋bismuth subsalicylate 525 mg 一天兩次＋metronidazole 500 mg一天兩次＋tetracycline 500 mg一天兩次
(B)Lansoprazole 30 mg一天一次＋bismuth subsalicylate 525 mg 一天兩次＋metronidazole 500 mg一天兩次＋tetracycline 500 mg一天兩次
(C)Pantoprazole 40 mg一天一次＋bismuth subsalicylate 525 mg 一天四次＋metronidazole 500 mg一天四次＋tetracycline 500 mg一天四次
(D)Rabeprazole 20 mg一天一次＋bismuth subsalicylate 525 mg 一天四次＋metronidazole 500 mg一天四次＋tetracycline 500 mg一天四次
答案：登入後查看
統計： A(294), B(253), C(485), D(1324), E(0) #408138
統計： A(294), B(253), C(485), D(1324), E(0) #408138
詳解 (共 10 筆)
噗噗來摟~
#2343047
bismuth-based : 1+2+3+4 (四合一療法)
(1)Rabeprazole 20 mg 一天一次
(2)Bismuth subsalivylate 525 mg 一天四次
(3)Metronidazole 500 mg 一天四次
(4)Tetracycline 500 mg 一天四次
PPI-based : 1+2+3 (三合一療法)
(1)(PPI有 Omeprazole 20mg BID , Lansoprazole 30mg BID , Pantoprazole 40mg BID , Rabeprazole 40mg QD)
(2)Clarithromycin 500 mg BID
(3)Amoxicillin 1 g 或 metronidazole 500 mg BID
82
2
海星
#896211
(A)Omeprazole 20 mg BID
(B)Lansoprazole 30 mg BID
(C)Pantoprazole 40 mg BID
(B)Lansoprazole 30 mg BID
(C)Pantoprazole 40 mg BID
26
0
Tony Tsai
#1282639
Triple therapy — The regimen most commonly recommended for first line treatment of H. pylori is triple therapy with a PPI (lansoprazole 30 mg twice daily, omeprazole 20 mg twice daily, pantoprazole 40 mg twice daily, rabeprazole 20 mg twice daily, or esomeprazole 40 mg once daily), amoxicillin (1 g twice daily), and clarithromycin (500 mg twice daily) for 7 to 14 days. We suggest treatment for 10 days to two weeks.
根據uptodate資料
這一題根本沒有答案= =
20
13
Chelsea Chen
#2918396
PPI: rabe 20 QD, esome 40 QD / 20 BID, ome 20 BID, lanso 30 BID, panto 40 BID
Triple: PPI BID + clarithro 500 BID + amoxi 1000 BID, metronidazole 500 TID
Quadruple: PPI BID + bismuth QID + tetra 500 QID + metronidazole 500 TID/QID
UpToDate: Recommended first-line therapies for H pylori infection
19
0
陳柏廷
#1107245
抱歉Rabeprazole是QD
9
1
Jamjam
#1648902
他已經說了是bismuth-based
8
5
Bryan
#884315
Subsalicylate
same as sucralate, polymerized on stomach surface to create a protective gel in the ulcer bed
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0
