Helicobacter pylori Infection – Board-Style Questions

What this deck covers

Helicobacter pylori infection in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Pain around the navel
2. Proving it at the first scope
3. Already on acid suppression
4. A positive blood result
5. Checking it has gone
6. How long to treat
7. The rapid test turns pink
8. Resistant to the macrolide
9. Choosing the antibiotics
10. Still positive after treatment
11. Iron that stays low
12. Low platelets for over a year
13. A rare stomach tumour
14. The look of the stomach
15. How he caught it
16. A father with gastric cancer
17. The healthy sister
18. Why the acid suppression

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Arrange blood antibody levels for the infection, Histology or culture plus one other biopsy-based test, Continue them unchanged, as they do not affect results, It confirms active infection needing treatment, A breath test four or more weeks from now, Seven days, Acid made by the bacteria lowers the pH of the gel, Amoxicillin and clarithromycin without acid suppression, Susceptibility testing of the strain from his biopsy, Repeat the identical course for another fortnight, Nothing, as it has no link with iron deficiency, Serology alone, repeated every six months, Eradication of the organism first, Linear furrows and white plaques in the oesophagus.

Clinical pearls from this deck

• Functional abdominal pain: do not look for H. pylori.
• First diagnosis: histology or culture plus one more test.
• Before testing: two weeks off PPI, four off antibiotics.
• Positive H. pylori serology does not prove current infection.
• Check clearance four or more weeks after treatment ends.
• H. pylori eradication in children: a 14-day course.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Gastroenterology Board Questions case decks · pediatric reference values.