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Adrenal insufficiency vomiting — GPhC CRA MCQ

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HardEndocrine TherapeuticsAdrenal insufficiency vomitingGPhC CRA

A patient with adrenal insufficiency cannot keep hydrocortisone tablets down and has an emergency injection kit. What monitoring is required?

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

Reveal the answer and explanation

Correct answer: C — Advise urgent emergency management and use of emergency hydrocortisone injection according to their plan

Vomiting can prevent steroid absorption and precipitate adrenal crisis. 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; Society for Endocrinology guidance