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Alarm symptoms dyspepsia — GPhC CRA MCQ

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ModerateGastrointestinal TherapeuticsAlarm symptoms dyspepsiaGPhC CRA

A 67-year-old asks to buy a proton pump inhibitor for new indigestion and unintentional weight loss. He says swallowing has become more difficult over the last month. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Refer urgently for medical assessment

New dyspepsia with weight loss and dysphagia in an older adult are alarm features. The pharmacist should refer urgently rather than manage as simple reflux. Early assessment is important to exclude serious pathology.

Reference: NICE CKS