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Dyspepsia – Unidentified Cause (PG)
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1. Dyspepsia symptoms are estimated to occur in what percentage of the population each year.
*
30%
40%
50%
60%
2. Which of the following is a licenced H2-receptor antagonist, used to treat dyspepsia in the UK
*
Ranitidine
Amlodipine
Rotigotine
Amorolfine
3. What initial lifestyle advice should be offered to a person with dyspepsia?
*
Increase caffeine intake
Avoid trigger foods
Avoid fibre
Eat more spicy food
4. Which medication is first-line for empirical treatment of dyspepsia?
*
Laxatives
H2 receptor antagonist
Proton pump inhibitor (PPI)
Antidepressants
5. What test is recommended for Helicobacter pylori detection in non-urgent dyspepsia?
*
Blood test
Stool antigen test
Endoscopy
CT scan
6. When should urgent referral for endoscopy be considered in dyspepsia?
*
Any person with bloating
People aged ≥55 with weight loss and upper abdominal pain
All patients under 30
Anyone with intermittent nausea
7. What is the recommended duration of a PPI trial in dyspepsia?
*
1 week
2 weeks
4 weeks
12 weeks
8. What is the purpose of a 'test and treat' strategy in dyspepsia?
*
Screen for and eradicate coeliac disease
Detect and eradicate lactose intolerance
Identify and eradicate H. pylori
D. Test for and treat bile acid malabsorption
9. Which of the following symptoms would prompt urgent 2WW referral?
*
Dysphagia
Epigastric pain in 25-year-old
Persistent bloating
Nausea
10. How should dyspepsia be managed if H. pylori is found positive?
*
Start iron supplements
Commence 2 antibiotics + PPI
Repeat test immediately
Ignore if asymptomatic
11. What lifestyle factor is associated with worsening dyspepsia symptoms?
*
Alcohol and smoking
High fibre intake
Drinking water
Excessive banana consumption
12. What is an appropriate next step if symptoms persist despite a 4-week PPI trial?
*
Double PPI dose
Urgent admission
Start flucloxacillin antibiotics
Commence codeine
13. Which condition can mimic symptoms of dyspepsia?
*
GORD
UTI
Asthma
Tonsillitis
14. What should be avoided before a urea breath test?
*
Exercise
NSAIDs
PPIs
Carbonated drinks
15. Which of the following is NOT a typical symptom of dyspepsia?
*
Post-prandial fullness
Early satiety
Epigastric pain
Haemoptysis
16. Which over-the-counter treatment may be used for short-term relief of dyspepsia?
*
Antihistamines
Buscopan
NSAIDs
Antacids
17. What term describes persistent dyspepsia without an identifiable cause?
*
Peptic ulcer disease
Functional dyspepsia
Irritable bowel syndrome
Gallstone dyspepsia
18. Which is a red flag feature in dyspepsia?
*
Sore throat
Belching
Unintentional weight loss
Post-nasal drip
19. When is endoscopy usually not required in dyspepsia management?
*
If H. pylori negative and no alarm symptoms
If age >70
If family history of cancer
If anaemia present
20. Which of the following may help reduce dyspepsia symptoms?
*
Lying flat after meals
Skipping breakfast
Taking NSAIDs regularly
Avoiding meals late at night