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GERD — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareGERDUSMLE Step 3

A 45-year-old man returns after 8 weeks of daily omeprazole for heartburn and sour regurgitation. Symptoms have resolved. He has no dysphagia, weight loss, bleeding, anemia, or vomiting. He asks whether he needs long-term daily medication. Which of the following would you recommend at the follow-up visit?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Attempt step-down to the lowest effective acid-suppressive regimen

Uncomplicated GERD with symptom response can be stepped down; alarm features would prompt endoscopy.

Reference: American College of Gastroenterology GERD guideline: https://gi.org/