GP Vivas · gastrointestinal-health
Dyspepsia, reflux, and Helicobacter pylori — structured viva
Structured oral on dyspepsia and reflux: defending the test-and-treat pathway with trial numbers, choosing eradication regimens under resistance, the GORD step-down ladder with rebound warning, and lifestyle counselling honesty.
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Study tools
Target exams
RACGP CCEFRACGP oralsMRCGP SCA
Prompt
The examiner opens: 'Every second patient wants a PPI script and a referral — talk me through how you actually decide.' The viva branches through alarm triage, test-and-treat mechanics, eradication regimens, the reflux ladder, and what the evidence really says about lifestyle.
Stem
You are the GP. A colleague complains that dyspepsia consultations are 'just scripts and referrals'. [1]
References7ShowHide
- [1]Malfertheiner P, Megraud F, Rokkas T, et al. Management of Helicobacter pylori infection: the Maastricht VI/Florence consensus report Gut, 2022.PMID 35944925
- [2]Ford AC, Gurusamy KS, Delaney B, et al. Eradication therapy for peptic ulcer disease in Helicobacter pylori-positive people Cochrane Database Syst Rev, 2016.PMID 27092708
- [3]Ford AC, Tsipotis E, Yuan Y, et al. Efficacy of Helicobacter pylori eradication therapy for functional dyspepsia: updated systematic review and meta-analysis Gut, 2022.PMID 35022266
- [4]Nasseri-Moghaddam S, Mousavian AH, Kasaeian A, et al. What is the prevalence of clinically significant endoscopic findings in subjects with dyspepsia? Updated systematic review and meta-analysis Clin Gastroenterol Hepatol, 2023.PMID 35738355
- [5]Sigterman KE, van Pinxteren B, Bonis PA, et al. Short-term treatment with proton pump inhibitors, H2-receptor antagonists and prokinetics for gastro-oesophageal reflux disease-like symptoms and endoscopy negative reflux disease Cochrane Database Syst Rev, 2013.PMID 23728637
- [6]Reimer C, Søndergaard B, Hilsted L, et al. Proton-pump inhibitor therapy induces acid-related symptoms in healthy volunteers after withdrawal of therapy Gastroenterology, 2009.PMID 19362552
- [7]Ness-Jensen E, Hveem K, El-Serag H, et al. Lifestyle Intervention in Gastroesophageal Reflux Disease Clin Gastroenterol Hepatol, 2016.PMID 25956834