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NSAID ulcer prophylaxis — GPhC CRA MCQ

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HardGastrointestinal TherapeuticsNSAID ulcer prophylaxisGPhC CRA

An older woman with previous peptic ulcer and aspirin use is prescribed naproxen for osteoarthritis. What is the most appropriate action?

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

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Correct answer: A — Query whether gastroprotection with a proton pump inhibitor is required

Age, previous ulcer and antiplatelet therapy increase NSAID gastrointestinal bleeding risk. 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