When a Patient Reports Experiencing Chronic Chest Pain That Occurs

question 1

Multiple Choice

When a patient reports experiencing chronic chest pain that occurs after meals, the provider suspects gastroesophageal reflux disease (GERD) and prescribes a proton pump inhibitor. After 2 months the patient reports improvement in symptoms. What is the next action in treating this patient?

• A) Wean patient from proton pump inhibitor (PPI).
• B) Order esophageal pH monitoring.
• C) Refer the patient to a gastroenterologist.
• D) Schedule an upper endoscopy.

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