When treating patients using the Step-Down approach the patient ...

[brutforce]

When treating patients using the Step-Down approach the patient with gastroesophageal reflux disease is started on _______ first.
 
  1. Antacids
  2. Histamine2 receptor antagonists
  3. Prokinetics
  4. Proton pump inhibitors

Question 2

The next step in treatment when a patient has been on proton pump inhibitors twice daily for 12 weeks and not improving is:
 
  1. Add a prokinetic (metoclopramide)
  2. Referral for endoscopy
  3. Switch to another proton pump inhibitor
  4. Add a cytoprotective drug

[johnharpe]

Answer to Question 1

4

Answer to Question 2

2

[brutforce]

Excellent

[bulacsom]

Thanks for the timely response, appreciate it