A 58-year-old woman has persistent typical GERD symptoms despite taking omeprazole at bedtime for 8 weeks. No alarm features. Next best adjustment?...

Question

A 58-year-old woman has persistent typical GERD symptoms despite taking omeprazole at bedtime for 8 weeks. No alarm features. Next best adjustment?

Accepted Answer

Take PPI 30-60 minutes before breakfast

Answer

Switch to H2 blocker only

Answer

Continue bedtime dosing another 8 weeks

Answer

Order routine pH impedance testing now

Answer

Start prokinetic therapy

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