A 53-year-old woman with GERD and persistent regurgitation despite optimized PPI has normal endoscopy. Next step to confirm pathology?...

Question

A 53-year-old woman with GERD and persistent regurgitation despite optimized PPI has normal endoscopy. Next step to confirm pathology?

Accepted Answer

Ambulatory reflux monitoring off therapy

Answer

Increase PPI indefinitely without testing

Answer

Barium swallow alone

Answer

H2 blocker instead of PPI

Answer

Antireflux surgery without confirmation

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