A 47-year-old with persistent GERD symptoms on once-daily PPI taken intermittently. Next step?...

Question

A 47-year-old with persistent GERD symptoms on once-daily PPI taken intermittently. Next step?

Accepted Answer

Ensure correct PPI timing (30-60 min before meal) and consider BID dosing

Answer

Switch to H2RA only

Answer

Stop PPI and order pH monitoring immediately

Answer

Add metoclopramide

Answer

Refer to surgery immediately

us-abfm MCQ (SBA): GERD-PPI Optimisation