NAC OSCE Practice Questions - National Assessment Collaboration Objective Structured Clinical Examination (NAC OSCE) Exam

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In a focused history station, a 45-year-old man complains of episodic epigastric burning that worsens 2-3 hours after meals and at night, relieved by food and antacids. Which feature in the history is the most important alarm symptom that would change your management toward urgent endoscopy?

Progressive dysphagia and unintentional weight loss Symptom relief with over-the-counter antacids Burning that is worse when lying flat after meals A history of occasional non-bloody belching

Correct Answer:

Progressive dysphagia and unintentional weight loss

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