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Question 6: General Surgery MCQWhat is the most appropriate initial management for a small, uncomplicated duodenal ulcer?Immediate surgeryProton pump inhibitors and H. pylori eradication if positiveGastric bypassTotal parenteral nutritionEndoscopic stentingAnswer: Proton pump inhibitors and H. pylori eradication if positiveExplanation: The initial management of a small, uncomplicated duodenal ulcer typically involves medical treatment with proton pump inhibitors to reduce acid secretion. If H. pylori infection is present, eradication therapy should also be given. Surgery is usually reserved for complications or refractory cases.