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GERD — USMLE Step 3 MCQ

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EasyAmbulatory Medicine / Primary CareGERDUSMLE Step 3

A 35-year-old man has retrosternal burning and sour regurgitation after large evening meals for 3 months. He has no dysphagia, odynophagia, weight loss, gastrointestinal bleeding, or anemia. Symptoms improve partially with antacids. Physical examination is normal. Which of the following is the most appropriate at this time?

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Correct answer: E — Begin an 8-week proton pump inhibitor trial and lifestyle measures

Typical reflux symptoms without alarm features are managed with lifestyle modification and an empiric proton pump inhibitor trial.

Reference: ACG GERD Guideline