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 33-year-old woman presents to the primary care clinic due to 10 weeks of epigastric discomfort and heartburn. The patient also reports nocturnal cough and frequent throat clearing. There is no difficulty swallowing, melena, hematemesis, vomiting, or unintentional weight loss. Past medical history is unremarkable. BMI is 31 kg/m2. Vital signs are within normal limits. Physical examination is significant for pharyngeal erythema and epigastric tenderness to palpation. Which of the following is the best next step in the evaluation and management of this patient?  

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