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Nitrate counselling — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

EasyCardiovascular TherapeuticsNitrate counsellingGPhC CRA

A 67-year-old man is collecting glyceryl trinitrate sublingual spray for stable angina. He asks what to do if chest pain occurs while walking. He has no current chest pain in the pharmacy. What would you advise the patient?

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

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Correct answer: E — Sit down, use one or two sprays, and seek emergency help if pain persists

GTN should be used promptly for angina symptoms while the patient rests. Persistent pain after appropriate GTN use may indicate acute coronary syndrome. Sildenafil with nitrates can cause severe hypotension and should be avoided.

Reference: BNF; NICE CKS