A 54 year old man presents with a 3 month history of epigastric pain worse after meals, early satiety and unintentional weight loss. He is a smoker an...

Question

A 54 year old man presents with a 3 month history of epigastric pain worse after meals, early satiety and unintentional weight loss. He is a smoker and uses non steroidal anti inflammatory drugs. Which is the most appropriate next investigation in primary care according to NICE dyspepsia guidance?

Accepted Answer

Urgent upper gastrointestinal endoscopy via a suspected cancer pathway

Answer

Empirical proton pump inhibitor therapy alone for 8 weeks

Answer

Helicobacter pylori stool antigen test only

Answer

Abdominal ultrasound scan

Answer

Faecal calprotectin

uk-plab-1 MCQ (SBA): Alarm features in dyspepsia and cancer referral

A 54 year old man presents with a 3 month history of epigastric pain worse after meals, early satiety and unintentional weight loss. He is a smoker and uses non steroidal anti inflammatory drugs. Which is the most appropriate next investigation in primary care according to NICE dyspepsia guidance?