Gastroesophageal reflux disease Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 45-year-old man presents to the emergency department with a 6-hour history of chest pain and vomiting coffee-ground colored material. The patient has had heartburn, food regurgitation, and occasional dysphagia for the past five months. Over-the-counter omeprazole has provided partial relief of symptoms. There is no associated diaphoresis, dyspnea, hemoptysis, or nausea. Past medical history is unremarkable. The patient takes no other medications and does not use tobacco or alcohol. Temperature is 36.7ºC (98.1ºF), pulse is 108/min, blood pressure is 110/60, and respirations are 18/min. Physical examination is remarkable for epigastric tenderness to palpation. Electrocardiogram and chest radiograph show no abnormalities. Laboratory evaluation shows microcytic anemia. Which of the following is the most appropriate next step in management of this patient?

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Prescribe oral pantoprazole and schedule outpatient upper endoscopy in two weeks

Order a barium swallow test

Order a CT of the chest with angiography

Administer intravenous pantoprazole and perform upper endoscopy

Administer aspirin and heparin and consider emergent reperfusion therapy