skip to main content

Methotrexate counselling — GPhC CRA MCQ

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

ModeratePatient Counselling and Pharmaceutical CareMethotrexate counsellingGPhC CRA

A patient starting methotrexate for psoriasis asks how to remember the dose. The prescription is for 15 mg once weekly with folic acid on a different day. What would you advise the patient?

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

Reveal the answer and explanation

Correct answer: E — Take methotrexate on the same chosen day each week

Methotrexate for psoriasis is taken once weekly, and choosing a consistent day helps prevent accidental daily dosing. The patient should understand the folic acid schedule and toxicity symptoms such as sore throat, mouth ulcers or unexplained bruising. Missed-dose advice should be sought rather than doubling. NSAID use should be checked because interactions and renal function matter.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment