A 54-year-old with suspected GERD fails an 8-week PPI trial; EGD is normal. Next diagnostic step to confirm reflux?...

Question

A 54-year-old with suspected GERD fails an 8-week PPI trial; EGD is normal. Next diagnostic step to confirm reflux?

Accepted Answer

Ambulatory pH impedance monitoring off therapy

Answer

Empiric prokinetic therapy

Answer

CT chest

Answer

Routine long-term H2 blocker without testing

Answer

Surgery without physiologic testing

us-abim MCQ (SBA): GERD (Diagnostic Testing)