The Next Step in Treatment When a Patient Has Been

question 13

Multiple Choice

The next step in treatment when a patient has been on proton pump inhibitors twice daily for 12 weeks and not improving 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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Definitions:

Psychological Phenomenon

Any observable behavior or internal process of the mind, such as emotions, memory, cognition, etc., studied in psychology.

Cook-Medley Hostility Scale

A psychological instrument used to measure levels of hostility and anger thought to be predictive of cardiovascular disease.

Coronary Lesions

Damage or disease affecting the coronary arteries, which can lead to reduced blood flow to the heart muscle and contribute to conditions like angina and myocardial infarction.

Dean Ornish

An American physician and researcher known for his advocacy of lifestyle changes to improve heart health and prevent disease.