The Correct Answer is D!

Knowledge to Practice, in collaboration with Mayo Clinic, offers online board review and lifelong learning products in Internal Medicine. With a full pre-assessment, you can identify the topics you’ve mastered and focus your time on topics where you need it the most. Our products have been shown to increase knowledge 75% more than traditional methods in less time.1

Use promo code QUIZ20 to save 20% off any internal medicine product *


A 62-year-old white man has had postprandial gastroesophageal reflux symptoms for over 10 years. Once or twice a week he feels heartburn after his evening meal. The symptoms resolve with a dose of oral antacid. He has no dysphagia, cough, weight loss, dyspnea, or exertional chest discomfort. He has hypertension and takes an angiotensin receptor blocker medication. Physical examination is notable for a body mass index of 34 with intra-abdominal distribution of fat.

Which of the following is the most appropriate next step in patient care?

  1. No further evaluation, continue antacids as needed
  2. No further evaluation, begin daily oral proton pump inhibitor
  3. Perform 24-hour ambulatory pH monitoring
  4. Perform upper GI endoscopy

* Offer Expires June 7, 2019. Discounts and promotions are for new product purchases only. They do not apply to previously purchased products.

1. Source: "Comparative Analysis of Pre/Post Assessments of Live/Didactic Course Attendees when compared to Mico-Learning/Online Course Users., "Knowledge to Practice, 2017.