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Dyspepsia alarm symptoms — GPhC CRA MCQ

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ModerateGI TherapeuticsDyspepsia alarm symptomsGPhC CRA

A 57-year-old man takes lansoprazole 30mg daily for reflux. He reports persistent dysphagia, unintentional weight loss and vomiting after meals. He asks to buy stronger acid suppression. What is the most appropriate action?

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Correct answer: B — Refer urgently for medical assessment of alarm symptoms

Dysphagia, weight loss and persistent vomiting are alarm symptoms that require urgent medical assessment. Escalating OTC acid suppression could delay diagnosis. The pharmacist should refer rather than manage as uncomplicated reflux.

Reference: NICE CKS; BNF