A patient with GERD would most likely be prescribed which of the following?

In the case of a patient with gastroesophageal reflux disease (GERD), histamine-2 receptor blockers, such as ranitidine (Zantac), are often prescribed to help reduce stomach acid production. GERD is characterized by frequent acid reflux, which can cause symptoms like heartburn and discomfort. Histamine-2 receptor blockers work by blocking the action of histamine at the H2 receptors in the stomach lining, leading to decreased acid secretion. This helps alleviate symptoms and allows for healing of the esophageal lining, which may become irritated due to constant exposure to stomach acid.

The other choices do not address the underlying issue of acid production and reflux in GERD. Corticosteroids like fluticasone are typically used to reduce inflammation in conditions like asthma or chronic obstructive pulmonary disease, while long-acting bronchodilators like salmeterol are primarily used to manage respiratory conditions. Lastly, systemic antibiotics are not indicated for GERD unless there is an associated infection, which is not a typical concern for patients suffering from this gastrointestinal condition.