A 61-year-old man with GERD symptoms refractory to 8 weeks of once-daily PPI taken before breakfast. No alarm features. Next best step per guideline?...

Question

A 61-year-old man with GERD symptoms refractory to 8 weeks of once-daily PPI taken before breakfast. No alarm features. Next best step per guideline?

Accepted Answer

Optimize to twice-daily PPI trial

Answer

Immediate EGD regardless

Answer

Add H2 blocker only and continue once-daily PPI

Answer

Stop PPI and start sucralfate

Answer

Start prokinetics empirically

us-abim MCQ (SBA): GERD