CP, a 28-year-old male, presents with weakness, dizziness, and sweating. A gastroscopy reveals a duodenal ulcer, and a Helicobacter pylori urea breath test is negative. Lab results confirm that he has anaemia. His current medications are:
- Gliclazide 40 mg once daily
- Esomeprazole 20 mg once daily
- Aluminium–magnesium antacid 10 ml four times daily
- What is the most likely cause of anaemia in CP?
A. Gastrointestinal bleeding
B. Splenomegaly
C. Inadequate dietary intake
D. Autoimmune condition
E. Congenital disorder - . Which of the following actions are appropriate for managing CP’s anaemia?
- ❏ Start oral ferrous sulphate
- ❏ Administer iron sorbitol injection
- ❏ Perform gastric lavage
Choose the correct combination:
A. ❏ 1, 2, and 3
B. ❏ 1 and 2 only
C. ❏ 2 and 3 only
D. ❏ 1 only
E. ❏ 3 only - What advice should CP receive upon discharge?
- ❏ Avoid the use of NSAIDs
- ❏ Eat small, frequent meals
- ❏ Reduce fibre intake
Choose the correct combination:
A. ❏ 1, 2, and 3
B. ❏ 1 and 2 only
C. ❏ 2 and 3 only
D. ❏ 1 only
E. ❏ 3 only







1.A
2.B
3.B
1.A
2.D
3.B
1.A
2.D
3.B
A
D
B
1. A
2. D
3. B