skip to main content

Bisoprolol heart failure start — GPhC CRA MCQ

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

EasyCardiovascular TherapeuticsBisoprolol heart failure startGPhC CRA

A patient with stable heart failure starts bisoprolol 1.25 mg and asks why the dose is low. What would you advise the patient?

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

Reveal the answer and explanation

Correct answer: B — The dose is started low and increased gradually if tolerated

Beta-blockers in heart failure require cautious titration to reduce bradycardia and early worsening. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.

Reference: BNF; NICE CKS