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PPI alarm features — GPhC CRA MCQ

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ModerateGastrointestinal TherapeuticsPPI alarm featuresGPhC CRA

A 68-year-old asks to buy omeprazole for new dyspepsia with weight loss and difficulty swallowing. What is the most appropriate action?

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

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Correct answer: BRefer urgently for medical assessment

New dyspepsia with dysphagia and weight loss are alarm features requiring urgent assessment. In this vignette, "Refer urgently for medical assessment" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; NICE CKS