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Oral thrush with inhaled corticosteroid — GPhC CRA MCQ

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HardInfectionsOral thrush with inhaled corticosteroidGPhC CRA

A patient is starting deferasirox for chronic transfusional iron overload. Which renal-monitoring schedule is required around initiation in addition to ongoing clinical assessment?

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

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Correct answer: B — Duplicate baseline; weekly creatinine for 1 month, then monthly

Explanation lettering: C = shown as B · D = shown as C · E = shown as D · B = shown as E

A omits duplicate baseline confirmation and is far too infrequent. B is unnecessarily intensive initially but then dangerously stops surveillance. C is correct: obtain serum creatinine in duplicate before treatment, monitor renal function weekly for the first month after initiation or dose modification, then at least monthly. D omits both baseline duplication and early weekly monitoring. E cannot substitute for the required renal-function measurements.

Reference: Deferasirox 360 mg film-coated tablets SmPC. https://www.medicines.org.uk/emc/product/13342/smpc