A 36‑year‑old with classic GERD symptoms and no alarm features asks for management. Which approach is guideline‑concordant?...

Question

A 36‑year‑old with classic GERD symptoms and no alarm features asks for management. Which approach is guideline‑concordant?

Accepted Answer

Eight‑week trial of once‑daily PPI before further testing

Answer

Empiric H2 blocker for 14 days only

Answer

Immediate EGD for all GERD symptoms

Answer

Prokinetic therapy first

Answer

High‑dose PPI and sucralfate indefinitely

us-abfm MCQ (SBA): GERD-Initial Management