QuestionSBA
QuestionChoice
This presentation does not appear cardiac in origin.
10035576
e
Urgent two-week wait referral to cardiology
QuestionChoice
This is a recommendation in general practice for the treatment of possible peptic ulcer, however, the priority here is to exclude an upper GI malignancy.
10035573
b
Advise 8-week trial of oral PPI
QuestionChoice
This is correct. NICE recommends anyone with dysphagia requires urgent assessment to exclude upper GI malignancy.
10035572
a
Urgent two-week wait referral to gastro-enterology
QuestionChoice
This is a recommendation in general practice for the treatment of possible peptic ulcer, however, the priority here is to exclude an upper GI malignancy.
10035574
c
Test and treat for H.Pylori
QuestionChoice
Lifestyle measures such as weight loss and avoiding certain foods may be helpful in dyspepsia but this does not address his dysphagia, which is a red flag symptom for upper GI malignancy.
10035575
d
Reassure and advise lifestyle measures
Concept
Chapter
2693
6144
Dysphagia
Topic
136
Gastroenterology
19518
Dysphagia warrants urgent referral to gastroenterology to rule out potential upper gastrointestinal malignancy, as per NICE guidelines.
A 48-year-old man attends the GP due to troublesome reflux, heartburn and difficulty swallowing for the last three months.

What is the most appropriate management?
a