Heartburn in Medicine / Internal Medicine — 55yo Woman | Gastroenterology | SMLE Q#11449
SMLE Question #11449
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 55-year-old woman has 6 weeks of typical heartburn and regurgitation. She started omeprazole 20 mg once daily, taken 30 minutes before breakfast, and has been fully adherent for 4 weeks but remains symptomatic with heartburn and intermittent nausea. She denies dysphagia, odynophagia, unintentional weight loss, gastrointestinal bleeding, or anemia symptoms. Examination is normal, and she is not using NSAIDs or anticoagulants. What is the most appropriate next step in management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.