A 55-year-old man with long-standing heartburn presents with new-onset dysphagia to solids and unintentional weight loss over 3 months. He takes over-...

Question

A 55-year-old man with long-standing heartburn presents with new-onset dysphagia to solids and unintentional weight loss over 3 months. He takes over-the-counter antacids. What is the most appropriate management?

Accepted Answer

Arrange urgent upper GI endoscopy within 2 weeks

Answer

Start high-dose proton pump inhibitor and review in 8 weeks

Answer

Arrange routine upper GI endoscopy within 18 weeks

Answer

Prescribe H2-receptor antagonist and reassure

Answer

Test and treat for Helicobacter pylori and review in 3 months

uk-plab-1 MCQ (SBA): Suspected oesophageal cancer

A 55-year-old man with long-standing heartburn presents with new-onset dysphagia to solids and unintentional weight loss over 3 months. He takes over-the-counter antacids. What is the most appropriate management?