The initial step in the management of peptic ulcer disease (PUD):
A) Is to determine if complications associated with the peptic ulcer are present.
B) Is to establish the underlying etiology of the peptic ulcer, which will direct treatment.
C) Is aimed at diminishing prostaglandin synthesis, to allow healing of the stomach mucosa.
D) Is to instruct the patient in a reflux-reducing diet and the absolute avoidance of nonsteroidal anti-inflammatory drugs (NSAIDs).
