1st April 2022

A 60-year-old male presents to his GP with symptoms of dyspepsia and abdominal pain

A 60-year-old male presents to his GP with symptoms of dyspepsia and abdominal pain which he has been experiencing for the last 3 months. He finds the abdominal pain is worsened by eating.  Social history includes a 15 pack-year smoking history and 20 units of alcohol consumed regularly over the course of a weekend. On examination, he appears well, abdominal examination reveals tenderness to palpation over the epigastric area. Further investigation leads to a diagnosis of a gastric ulcer.

Select the SINGLE most likely organism from the list below which has caused his gastric ulcer. Select ONE option only.