GERD Follow Up Visit - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 04-29-2010
USMLE Forums Scout
 
Steps History: Not yet
Posts: 97
Threads: 52
Thanked 136 Times in 50 Posts
Reputation: 136
GIT GERD Follow Up Visit

A 55-year-old white man with a 20-year history of gastroesophageal reflux visits the clinic for worsening reflux symptoms over the past 18 months. His last visit was 7 years ago and he claims to be otherwise in good health. He has been compliant with his antireflux medications, including an H2-blocker and a proton pump inhibitor. At this visit, it is most appropriate to perform which of the following?
(A) Double the dose of his H2-blocker and schedule him for follow-up in 4 weeks
(B) Double the dose of his proton pump inhibitor and schedule him for follow-up in 4 weeks
(C) Perform an esophagoscopy
(D) Schedule him for elective esophagectomy
(E) Schedule him for emergent Nissen fundoplication
Reply With Quote Quick reply to this message
The above post was thanked by:
aungawa (04-30-2010), speedballz_21 (04-29-2010)



  #2  
Old 04-29-2010
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 14
Threads: 5
Thanked 12 Times in 4 Posts
Reputation: 22
Default ans c

Quote:
Originally Posted by Hohepa View Post
A 55-year-old white man with a 20-year history of gastroesophageal reflux visits the clinic for worsening reflux symptoms over the past 18 months. His last visit was 7 years ago and he claims to be otherwise in good health. He has been compliant with his antireflux medications, including an H2-blocker and a proton pump inhibitor. At this visit, it is most appropriate to perform which of the following?
(A) Double the dose of his H2-blocker and schedule him for follow-up in 4 weeks
(B) Double the dose of his proton pump inhibitor and schedule him for follow-up in 4 weeks
(C) Perform an esophagoscopy
(D) Schedule him for elective esophagectomy
(E) Schedule him for emergent Nissen fundoplication
ans C esophagoscopy
Reply With Quote Quick reply to this message
  #3  
Old 04-29-2010
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 62
Threads: 26
Thanked 69 Times in 31 Posts
Reputation: 79
Question Why esophageoscopy

Quote:
Originally Posted by speedballz_21 View Post
ans C esophagoscopy
Are you looking for barrett's ?
Reply With Quote Quick reply to this message
 
  #4  
Old 04-29-2010
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 14
Threads: 5
Thanked 12 Times in 4 Posts
Reputation: 22
Default

Quote:
Originally Posted by RRMadukha View Post
Are you looking for barrett's ?
Yes.
Is my answer right?
Reply With Quote Quick reply to this message
  #5  
Old 04-29-2010
USMLE Forums Scout
 
Steps History: Not yet
Posts: 97
Threads: 52
Thanked 136 Times in 50 Posts
Reputation: 136
Correct Answer Yes, it's C

Yes, you are right. We need to do esaphageoscopy to rule our Barrett's esophagus. Other options are not logical in this case.
Surgery is indicated only if you have active reflux that is resistant to medical therapy.
Reply With Quote Quick reply to this message



Reply

Tags
Gastroenterology-, Internal-Medicine-, Step-2-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Routine Gynecologic Visit Hohepa USMLE Step 2 CK Forum 3 04-10-2010 02:12 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)