A 44-year-old man with classic heartburn and regurgitation without alarm features fails lifestyle measures. What is the recommended initial diagnostic...

Question

A 44-year-old man with classic heartburn and regurgitation without alarm features fails lifestyle measures. What is the recommended initial diagnostic/therapeutic approach?

Accepted Answer

Empiric once-daily PPI trial for 8 weeks

Answer

Upper endoscopy immediately

Answer

Barium swallow

Answer

H. pylori testing and eradication only

Answer

Ambulatory pH monitoring first

us-abfm MCQ (SBA): GERD

A 44-year-old man with classic heartburn and regurgitation without alarm features fails lifestyle measures. What is the recommended initial diagnostic/therapeutic approach?