Rheumatoid Arthritis — UKMLA MCQ
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Correct answer: C — Urgent suspected oesophageal-cancer referral for dysphagia
The best answer is “Urgent suspected oesophageal-cancer referral for dysphagia”. Dysphagia is a direct urgent suspected oesophageal-cancer referral criterion. Empirical acid suppression or H. pylori testing must not delay endoscopy and specialist assessment when an alarm symptom is present. The alternatives remain plausible in related presentations, but they require different eligibility criteria, use a different care setting, or fail to address the immediate risk identified in this vignette.
Reference: NICE CG184: Dyspepsia and gastro-oesophageal reflux disease: https://www.nice.org.uk/guidance/cg184/chapter/Recommendations