With the advent of Cox 2 inhibitors taken off the market, what if any changes should we make to answering questions on the USMLE/Shelf with regard to arthritis and NSAID induced gastric ulcers? Should we still continue to answer Cox 2 inhibitors as the DOC, or answer acetaminophen or just hope an answer choice like NSAID's with Misoprostil (for the cytoprotective effect) will be included as an answer choice? Thanks! Any ideas on this Dr. Desai? Thanks!!