skip to main content

GORD step-down — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

EasyGastrointestinal TherapeuticsGORD step-downGPhC CRA

A patient has controlled reflux after eight weeks of omeprazole and wants to reduce long-term medicine burden. What is the most appropriate alternative?

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

Reveal the answer and explanation

Correct answer: C — Step down to the lowest effective acid-suppression regimen

Long-term PPI therapy should be reviewed and stepped down where clinically appropriate. In this vignette, "Step down to the lowest effective acid-suppression regimen" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; NICE CKS