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Dyspepsia red flags — GPhC CRA MCQ

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EasyGastro-intestinal TherapeuticsDyspepsia red flagsGPhC CRA

A 47-year-old woman taking lansoprazole 30 mg daily for reflux reports persistent dysphagia and unintentional weight loss over 2 months. She asks to buy a stronger antacid. What is the most appropriate action?

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Correct answer: A — Refer urgently for medical assessment

Dysphagia and unintentional weight loss are alarm symptoms in reflux-like presentations. They require urgent medical assessment rather than escalation of OTC therapy. The pharmacist should not allow symptom treatment to delay investigation.

Reference: NICE CKS