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Chapter 32 – Minor GI Ailments (QE) Sample Questions

1. A 45-year-old patient presents to the pharmacy complaining of persistent heartburn for four weeks. Which of the following symptoms would require an immediate referral to emergency care?

A. Increased gas and bloating
B. Difficulty swallowing
C. Increased daytime tiredness
D. Mild indigestion

Answer

Ans: B

Tips: Assessment of patient with dyspepsia
Odynophagia—> Sensation of pain behind the sternum as fluid or food swallowed.
The following patient require referral: GERD patient should be referred to doctor if they have difficulty in swallowing, pain after swallowing and have frequent heart burn more than 3 months, pregnant. Heartburn while taking OTC antacids, H2RAs, PPIs, or heart burn that continues after 2 weeks of treatment. If mild and infrequent symptoms remain after 14 days or incompletely relieved refer to physician. Since patient does not meet any of these exclusion criteria, patient is qualifies for non-prescription heartburn medications.

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