A 62-year-old with symptomatic GERD failed an 8-week PPI trial. No alarm features. Next step?...

Question

A 62-year-old with symptomatic GERD failed an 8-week PPI trial. No alarm features. Next step?

Accepted Answer

Increase to BID PPI and optimize timing, then consider pH monitoring if persistent

Answer

Immediate antireflux surgery

Answer

Long-term H2 blocker only

Answer

Stop therapy

Answer

Empiric prokinetic therapy

us-abim MCQ (SBA): Refractory GERD