A 49-year-old man with long-standing GERD without Barrett's has complete symptom relief on an 8-week PPI course. Next step?...

Question

A 49-year-old man with long-standing GERD without Barrett's has complete symptom relief on an 8-week PPI course. Next step?

Accepted Answer

Discontinue PPI and monitor; restart if symptoms recur

Answer

Continue PPI indefinitely at same dose

Answer

Switch to H2 blocker regardless of symptoms

Answer

Schedule surveillance endoscopy immediately

Answer

Add metoclopramide long term

us-abfm MCQ (SBA): GERD (de-escalation)