This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: JIPMER 2019, Subject name: Pharmacology
Deprescription of PPIs can be done in all except:- 
Select and explain. 
A. 40 year old with Barret's esophagus, B. 40 year old with GERD, C. 45 year old with NSAID induced ulcer, D. Stress ulcer in ICU patient
A: 40 year old with Barret's esophagus
Answer: A: 40 year old with Barret's esophagus 
Explanation: Deprescription of PPIs is Indicated Not indicated Mild to moderate esophagitits Barrett's esophagus GERD Chronic NSAID user with bleeding risk PUD (NSAID OR H.PYLORI) Severe esophagitis ICU stress ulcer prophylaxis Documented history of bleeding GI ulcer. Uncomplicated H.pylori Upper GI symptoms without endoscopy