02-26-2007, 10:21 AM
A 44-year-old man undergoes an upper endoscopy for chronic heartburn. He has had no nausea, vomiting, dysphagia, fever, chills, or weight loss. The heartburn occurs three to four times per week. He has a long history of tobacco but no alcohol use. An upper endoscopy shows erosive esophagitis and 4 cm of Barrett's-appearing mucosa. Biopsies are taken. Which of the following statements concerning this patient is false?
(A) H2 blockers at standard doses are minimally effective in treating GERD
(B) The risk of developing esophageal cancer is related to the histology on biopsy
© The risk of developing esophageal cancer is approximately 0.5% per year
(D) There is clear evidence that an endoscopy every year for surveillance will decrease morbidity and mortality
(E) A proton-pump inhibitor daily should be prescribed
(A) H2 blockers at standard doses are minimally effective in treating GERD
(B) The risk of developing esophageal cancer is related to the histology on biopsy
© The risk of developing esophageal cancer is approximately 0.5% per year
(D) There is clear evidence that an endoscopy every year for surveillance will decrease morbidity and mortality
(E) A proton-pump inhibitor daily should be prescribed