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Methotrexate counselling — GPhC CRA MCQ

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EasyPatient Counselling and Pharmaceutical CareMethotrexate counsellingGPhC CRA

A woman taking weekly methotrexate asks what symptoms of toxicity matter most. She also takes folic acid weekly. What would you advise the patient?

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Correct answer: C — Report mucositis, infection, bruising or breathlessness promptly

Methotrexate can cause bone marrow suppression, liver toxicity and pneumonitis. Symptoms such as sore throat, mouth ulcers, bruising and breathlessness require prompt assessment. Routine blood monitoring remains essential.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment