Question

question 19
1 pts
a patient presents with classic symptoms of gastroesophageal reflux disease (gerd). he is instructed on life style modifications and drug therapy for 8 weeks. three months later he returns, reporting that he was “fine” as long as he took the medication. the most appropriate next step is:
referral for surgical intervention such as a partial or complete fundoplication
dependent upon how sever the practitioner believes the condition
to repeat the 8 week course of drug therapy while continuing lifestyle modifications
investigation with endoscopy, manometry, and/or ph testing

Explanation:

The patient's symptoms are controlled with medication. Before considering more invasive options like surgery, it is reasonable to repeat the drug - therapy course while continuing lifestyle modifications. More invasive diagnostic tests or surgery are not the first - line steps when drug therapy was previously effective.

Answer:

To repeat the 8 week course of drug therapy while continuing lifestyle modifications