Q39: Gastroenterology: PLAB/UK(MLA) Exam style question

 

A 45-year-old man comes to the clinic with a 3-month history of heartburn. He has not lost any weight and there is no difficulty swallowing food. An examination of his chest and abdomen does not reveal any abnormalities. What would be the single most appropriate initial management?

A. Urgent referral for endoscopy

B. Full-dose proton pump inhibitor and referral for endoscopy

C. Urea breath test and non-urgent referral for endoscopy

D. One-month course of full-dose proton pump inhibitor

E. Three-month course of standard-dose proton pump inhibitor

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