SOLVED1860

A 53-year-old female reports heartburn for several weeks, relieved by over-the-counter TUMS. She describes a “water-brash” taste in her mouth after eating. Her past medical history is significant for hypertension, and she takes a calcium-channel blocker. She drinks 1-2 glasses of wine each night and smokes half a pack per day. She is currently in the midst of a rancorous divorce and acknowledges significant stress and anger. She denies vomiting, weight loss, or dysphagia. Her examination is remarkable for a BMI of 31 without other abnormalities present. Which of the following is accurate when considering the evaluation and treatment of this patient? A. Endoscopy should be obtained prior to treatment. B. Ambulatory esophageal pH monitoring is indicated prior to treatment. C. Lifestyle modifications should include weight loss. D. Twice-daily dosing with a proton-pump inhibitor is indicated.
SCIENCE
HEALTH SCIENCE
NURSING

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