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Acute coronary syndrome symptoms — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsAcute coronary syndrome symptomsGPhC CRA

A 59-year-old woman asks for indigestion medicine but describes central chest pressure radiating to her left arm for 20 minutes. She is clammy and short of breath. She takes amlodipine and atorvastatin. What is the most appropriate action?

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

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Correct answer: ECall 999 immediately and keep her at rest

The symptoms are concerning for acute coronary syndrome rather than simple dyspepsia. Community pharmacy management should prioritise emergency assessment and ambulance transfer. Keeping the patient at rest reduces exertional demand. Delaying assessment with gastrointestinal treatment would be unsafe.

Reference: NICE CKS; BNF