GERD and Peptic Ulcer Disease USMLE Step 1 Practice Question
A 39-year-old obese woman started orlistat 3 weeks ago for weight loss. She now presents with oily spotting, increased flatulence, and abdominal discomfort. Vital signs are BP 128/82, HR 82, RR 16, Temp 37°C, SpO2 98%. She denies nausea or vomiting. Fecal fat is elevated at 8 g/day (normal <7 g/day). Upper endoscopy shows no gastric ulceration or erosive changes. Which medication most likely caused these gastrointestinal symptoms?
Answer choices
- ABupropion
- BOrlistatCorrect answer
- CMetformin
- DPhentermine
- ELiraglutide
- FTopiramate
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