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PPI and alarm symptoms — GPhC CRA MCQ

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ModerateGastrointestinal TherapeuticsPPI and alarm symptomsGPhC CRA

A 64-year-old man asks to buy omeprazole for new indigestion. He has unintentionally lost weight and says food is sticking when he swallows. What is the most appropriate action?

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

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Correct answer: A — Refer urgently for medical assessment

New dyspepsia with dysphagia and weight loss are alarm features requiring urgent assessment. OTC symptom treatment should not delay referral. The pharmacist should explain the reason for escalation.

Reference: NICE CKS