Question

A 40-year-old woman with BMI 28 and heartburn two times weekly but no alarm features. She prefers not to take daily medications. Which advice is appropriate?

Accepted Answer

Trial of 8-week PPI once daily and lifestyle modification

Answer

Upper endoscopy to exclude Barrett's immediately

Answer

Sucralfate is first-line for GERD

Answer

H2 blocker PRN is equivalent to PPI for healing erosive esophagitis

Answer

No therapy needed

Practice question

A 40-year-old woman with BMI 28 and heartburn two times weekly but no alarm features. She prefers not to take daily medications. Which advice is appropriate?