A 35-year-old with classic GERD symptoms (heartburn/regurgitation) and no alarm features seeks initial management. Best next step?...

Question

A 35-year-old with classic GERD symptoms (heartburn/regurgitation) and no alarm features seeks initial management. Best next step?

Accepted Answer

8-week trial of a proton-pump inhibitor

Answer

Immediate EGD to assess for Barrett's

Answer

Ambulatory pH study prior to any therapy

Answer

Sucralfate PRN only

Answer

H2 blocker PRN; avoid PPI empirically

us-usmle-step-2 MCQ (SBA): GERD