GERD review questions with correct answers 2024/2025 update

A 35-year-old woman complains of a 6-month his- tory of periodic "heartburn" primarily after eating tomato-based sauces. Her weight is unchanged and examination reveals a single altered finding of epigastric tenderness without rebound. As first-line therapy, you advise: A. avoiding trigger foods. B. the use of a prokinetic agent. C. addition of sucralfate with meals. D. increased fluid intake with food intake. - correct answer-A. avoiding trigger foods. Initial therapy for patients with GERD includes identifying trigger foods and reducing their intake. Most commonly mentioned food includes alcohol, tomato-based products, chocolate, peppermint, colas, citrus juices, and food high in fat content. A 38-year-old nonsmoking man presents with signs and symptoms consistent of GERD. He has self-treated with over-the-counter antacids and acid suppression therapy with effect. His weight is stable, and he denies nausea, vomiting, diarrhea, or melena. Which of the following represents the most appropriate diagnostic plan for this patient? A. fecal testing for H. pylori antigen B. upper GI endoscopy C. barium swallow D. no specific diagnostic testing is needed - correct answer-D. no specific diagnostic testing is needed In caring for a patient with symptomatic gastroesophageal reflux, you prescribe a PPI to: A. enhance motility. B. increase the pH of the stomach. C. reduce lower esophageal pressure. D. help limit H. pylori growth. - correct answer-B. increase the pH of the stomach. Why is use of Omeprazole or Esomeprzole contraindicated in patients taking Clopigogrel? - correct answer-It can decrease the effect of Clopidogrel