A 38-year-old with recurrent reflux without alarm symptoms completed 8 weeks of once-daily omeprazole with partial response. Next best step?...

Question

A 38-year-old with recurrent reflux without alarm symptoms completed 8 weeks of once-daily omeprazole with partial response. Next best step?

Accepted Answer

Increase PPI to twice daily before meals

Answer

Empiric baclofen

Answer

Stop acid suppression and obtain barium swallow

Answer

Immediate upper endoscopy regardless of response

Answer

Start chronic sucralfate alone

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