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GORD alarm symptoms — GPhC CRA MCQ

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EasyGastro-intestinal TherapeuticsGORD alarm symptomsGPhC CRA

A 62-year-old man asks to buy a PPI for heartburn. He reports progressive difficulty swallowing solid food and unintentional weight loss over two months. He has not seen his GP. What is the most appropriate action?

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

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Correct answer: C — Refer urgently for medical assessment

Dysphagia and unintentional weight loss are alarm symptoms that require urgent medical assessment. Over-the-counter symptom treatment could delay diagnosis of serious pathology. The pharmacist should refer rather than treating as uncomplicated reflux.

Reference: NICE CKS; BNF