Gastro-oesophageal reflux disease — MCCQE Part 1 MCQ

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EasyDysphagia/HeartburnGastro-oesophageal reflux diseaseMCCQE Part 1

A 48-year-old woman has heartburn and regurgitation 3-4x/week x 6 months. No alarm symptoms, no prior therapy. Most appropriate initial management?

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Correct answer: C — PPI trial for 8 weeks

Under 50 with typical GERD and no alarm features: empirical 8-week PPI. Endoscopy for >50, alarm features, or PPI failure.

Reference: CAG GERD Guidelines