Lactulose in hepatic encephalopathy — GPhC CRA MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: E — Arrange clinical review and dose reduction toward two or three soft stools while assessing dehydration
Option E preserves encephalopathy prevention while responding to excessive treatment: the target is two or three soft stools, and watery diarrhoea with dizziness requires dehydration and electrolyte assessment. Option B exceeds the therapeutic target. Option C combines opposing drugs and worsens fluid risk. Option D abandons recurrence prevention permanently. Option A assumes a non-equivalent laxative has the same ammonia-lowering role.
Reference: Duphalac SmPC: https://www.medicines.org.uk/emc/product/5525/smpc