Heart failure beta-blocker counselling — 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: D — Start the low dose and arrange gradual titration with monitoring
Bisoprolol is used in chronic heart failure when the patient is clinically stable, starting at a low dose and titrating gradually. Counselling should explain that early tiredness or mild symptoms may occur, but review is needed if symptoms worsen. It should not be used as an as-needed treatment. Stopping diuretics or self-increasing the dose would be unsafe.
Reference: BNF; NICE CKS