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Steroid card — GPhC CRA MCQ

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ModerateEndocrine TherapeuticsSteroid cardGPhC CRA

A patient has been prescribed prednisolone 20mg daily for 4 weeks for polymyalgia symptoms. They collect the first supply from the community pharmacy. No steroid card or counselling is documented. What is the most appropriate action?

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

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Correct answer: D — Provide steroid counselling and ensure a steroid card is supplied

Systemic corticosteroids for several weeks can suppress the adrenal axis and require counselling. The patient should understand dosing, infection risk, adverse effects and the need for a steroid alert. Abrupt stopping after prolonged treatment can precipitate adrenal insufficiency.

Reference: BNF; NHS Steroid Emergency Card guidance