Question

A 58-year-old man with a history of GERD presents with progressive dysphagia to solids then liquids and weight loss. He has a 20-year history of heartburn. What is the most appropriate initial diagnostic test?

Accepted Answer

Upper endoscopy with biopsy

Answer

Empiric high-dose PPI therapy for 8 weeks

Answer

Barium swallow only

Answer

24-hour pH monitoring

Answer

Esophageal manometry

Practice question

A 58-year-old man with a history of GERD presents with progressive dysphagia to solids then liquids and weight loss. He has a 20-year history of heartburn. What is the most appropriate initial diagnostic test?