A 52-year-old with chronic reflux now reports progressive solid-food dysphagia and 10-lb unintentional weight loss. What is the most appropriate next ...

Question

A 52-year-old with chronic reflux now reports progressive solid-food dysphagia and 10-lb unintentional weight loss. What is the most appropriate next step?

Accepted Answer

Upper endoscopy now

Answer

Empiric 8-week trial of high-dose PPI then reassess

Answer

Barium swallow only

Answer

Ambulatory pH-impedance monitoring off therapy

Answer

H. pylori urea breath test

us-abfm MCQ (SBA): GERD with Alarm Features

A 52-year-old with chronic reflux now reports progressive solid-food dysphagia and 10-lb unintentional weight loss. What is the most appropriate next step?