1. When it comes to GERD, which of the following is often considered a "warning sign" that implies major complications?

• Difficulty in swallowing
• Constipation
• Abdominal pain
• An unpleasant gas

2. Which of the following is the most well-documented contributor to GERD risk?

• Diabetes
• Male gender
• Usage of beta-blockers
• Seizure

3. Which of these drugs is most likely to aggravate the symptoms of GERD and increase acid reflux?

• Warfarin
• Metformin
• Amitriptyline
• Levothyroxine

4. What other procedure is most often included in the workup for GERD, apart from upper gastrointestinal (GI) endoscopy?

• Manometry
• CT
• Nuclear medicine gastric emptying study
• Ultrasonography

5. Which of the following statements concerning GERD therapy is correct?

• Adopting a healthier way of life is still the gold standard in GERD treatment.
• Most patients with mild to moderate GERD symptoms and grade I–II esophagitis now choose PPIs over histamine 2-receptor antagonists as their first-line treatment.
• Patients with GERD have been shown to benefit from include chocolate in their diet.
• Surgery for GERD is not recommended in patients with cardiac conduction abnormalities.