A 41-year-old has retrosternal discomfort after meals and sour taste when lying down. Symptoms improve with antacids; ECG is normal, exercise

Question

A 41-year-old has retrosternal discomfort after meals and sour taste when lying down. Symptoms improve with antacids; ECG is normal, exercise tolerance is unchanged, and there is no dysphagia or weight loss. Which diagnosis is most likely?

Accepted Answer

Gastroesophageal reflux disease causing postprandial burning and sour regurgitation

Answer

Acute pericarditis causing positional chest pain, friction rub, and inflammatory ECG changes

Answer

Stable angina causing exertional chest pressure, reduced tolerance, and reproducible activity symptoms

Answer

Achalasia causing dysphagia, regurgitation, and nocturnal retained-food symptoms

Answer

Esophageal cancer causing progressive dysphagia, weight loss, and reduced solid-food intake

Gastroesophageal reflux disease — USMLE Step 3 MCQ

A 41-year-old has retrosternal discomfort after meals and sour taste when lying down. Symptoms improve with antacids; ECG is normal, exercise tolerance is unchanged, and there is no dysphagia or weight loss. Which diagnosis is most likely?