Question

A 38-year-old with classic heartburn and regurgitation for 3 months has no alarm features and takes no NSAIDs. Which initial management aligns with current guidance?

Accepted Answer

Empiric once‑daily proton pump inhibitor for 8 weeks

Answer

H2 receptor antagonist twice daily for 12 weeks as first‑line

Answer

Upper endoscopy immediately for all symptomatic patients

Answer

pH impedance testing before treatment

Answer

Prokinetic therapy (metoclopramide) as first‑line

Practice question

A 38-year-old with classic heartburn and regurgitation for 3 months has no alarm features and takes no NSAIDs. Which initial management aligns with current guidance?