When Using "Step-Up" Therapy for GERD,the Next "Step Up" in Treatment

question 8

Multiple Choice

When using "Step-Up" therapy for GERD,the next "step up" in treatment when a patient has been on proton pump inhibitors for 12 weeks is:

• A) Add a prokinetic (metoclopramide)
• B) Referral for endoscopy
• C) Switch to another proton pump inhibitor
• D) Add a cytoprotective drug

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