QBANK A 65-year-old African-American man comes to your clinic with complaints of heartburn. He describes the pain as a burning sensation located substernal

[zahra.sham]

A 65-year-old African-American man comes to your clinic with complaints of heartburn. He describes the pain as a burning sensation located substernally that radiates to his mouth. He has noted the symptoms for approximately 1 year. He notes that it gets worse with spicy and fatty foods. He usually eats dinner at 10 P.M., and goes to bed at 11 P.M., and he often has the sensation while in bed. He denies any dysphagia or weight loss. He also denies any tobacco or ETOH abuse. He has never tried any medications to relieve his symptoms. Examination is significant only for obesity. The treatment option most likely to relieve this patient’s symptoms is:

A. H2 blockers
B. Fundoplication
C. Cutting out spicy and fatty foods, elevating the head of the bed, and not lying down for at least 3 hours after each meal
D. Weight loss
E. Proton pump inhibitors