Question 188 · LEK · Peptic ulcer disease

A thirteen-year-old boy has been complaining for several weeks of abdominal pain and black stools. What test should be performed first?

  1. A. 24-hour pH of the esophagus.
  2. B. impedance with pH measurement.
  3. C. radiological examination.
  4. D. endoscopy with biopsy.
  5. E. gastric hydrochloric acid test.
Hint

Black tarry stools point to bleeding from a specific part of the GI tract; choose the test that can both see the lesion and sample it.

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