skip to main content

OTC PPI counselling — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

EasyGastro-intestinal TherapeuticsOTC PPI counsellingGPhC CRA

A patient asks to buy omeprazole 20mg for heartburn. He is 46, has symptoms after large meals, no dysphagia or weight loss, and takes no regular medicines. He has tried antacids with partial relief. What would you advise the patient?

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

Reveal the answer and explanation

Correct answer: E — Supply a short OTC PPI course with lifestyle advice and referral if symptoms persist or worsen

Uncomplicated reflux symptoms in an adult without alarm features can be managed initially with OTC treatment and lifestyle advice. A short course of a PPI is reasonable, with clear advice to seek medical review if symptoms persist, recur frequently or alarm symptoms develop. Long-term repeated OTC use without review is inappropriate. NSAIDs can aggravate dyspepsia and reflux symptoms.

Reference: BNF; NICE CKS GORD