A 36-year-old with classic heartburn and regurgitation without alarm features asks about initial management. What is recommended?...

Question

A 36-year-old with classic heartburn and regurgitation without alarm features asks about initial management. What is recommended?

Accepted Answer

Once-daily proton pump inhibitor 30-60 minutes before a meal for 8 weeks

Answer

Immediate upper endoscopy

Answer

H2 receptor antagonist as needed only

Answer

Ambulatory pH testing prior to any therapy

Answer

Empiric antibiotics

us-abfm MCQ (SBA): GERD