M. Farivar, M.D., FACG, FACP

Self Assessment / Questions about GERD

 

1) In patients with GERD heartburn and regurgitation (H&R) is present in:

     a. less than 50% 

     b. 50-70%

     c. 70-90%

     d. more than 90%

 

2) GERD presentation may also include:

     a. iron deficiency anemia

     b. non-ulcer dyspepsia

     c. nocturnal asthma

     d. chronic morning unilateral sore throat

 

3) Diagnostic study of choice in GERD is:

     a. manometry

     b. 24hr pH study

     c. Endoscopy (EGD)& Biposy 

     d. LEGD (laryngo-EGD)

 

4) In patients with GERD, 24hr pH monitoring is diagnostic in:

     a. less than 50%

     b. 50-70%

     c. 70-90%

     d. more than 90%

 

5) Endoscopy, the most expensive and commonly used study in GERD is diagnostic in:

     a. less than 50%

     b. 50-70%

     c. 70-90%

     d. more than 90%

 

6) Endoscopic grading of esophagitis and presence or absence of reflux laryngitis (RL) is commonly reported by the examiner:

     a. true

     b. false

 

7) Presence of Haital Hernia (HH) in patients with GERD is an incidental finding:

     a. true

     b. false

 

8) The value of superficial poorly oriented endoscopic pinch biopsy is limited in diagnosis:

     a. true

     b. false

 

9) Reflux laryngitis is a rare finding and when present it is usually symptomatic:

     a. true

     b. false

 

10) H₂ blockers (i.e. Ranitidine) heal erosive esophagitis in:

     a. less than 30%

     b. 30-60%

     c. 60-80%

     d. more than 80%

 

11) Proton pump inhibitors (i.e. Omeprazole) heal erosive esophagitis in:

     a. less than 30%

     b. 30-60%

     c. 60-80%

     d. more than 80%

 

12) After erosive esophagitis is healed, in order to prevent recurrence the maintenance dose of the healing medication is:

     a.1/2 the healing dose

     b. the same as the healing dose

     c. twice as much

     d. treatment not necessary

 

13) Which of the following is the most common cause of noncardiac chestpain?

     a. Diffuse esophageal spasm

     b. Nutcracker esophagus

     c. Nonspecific esophageal motility disorder

     d. GERD

 

  14) The omeprazole test for noncardiac chest pain consists of which regimen?

     a. Omeprazole 20 mg daily for 10 days

     b. Omeprazole 20 mg b.i.d.for 10 days

     c. Omeprazole 40mg qAM and 20mg qPM for 7 days

     d. Omeprazole 40mg qAM and 20mg qPM for 14 days

 

15) What is the sensitivity of the omeprazole test for diagnosing GERD in patients with noncardiac chest pain?

     a. 40%

     b. 60%

     c. 80%

     d. None of the above

 

16) Which of the following symptoms in asthmatics suggest coexisting GERD?

     a. Adult onset symptoms

     b. Nocturnal symptoms

     c. Difficult-to-control asthma

     d. All of the above

     e. None of the above

 

  17) In patients with chronic unexplained cough:

     a. Early EGD has a high yield for the diagnosis of GERD

     b. LEGD has a high yield for the diagnosis of GERD

     c. GERD is less common than asthma and postnasal drip

     d. b and c

     e. a, b, and c

 

  18) Studies to date support which of the following statement in Barrett’s
  esophagus?

          a.  Decreasing esophageal acid exposure decreases cancer risk.

          b.  Decreasing esophageal acid exposure decreases dysplasia risk

          c.  Decreasing esophageal acid exposure reverses dysplasia

          d.  None of the above

          e.  All of the above

 

 

 

Answers