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ACE inhibitor monitoring — GPhC CRA MCQ

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HardCardiovascular TherapeuticsACE inhibitor monitoringGPhC CRA

A patient is starting lisinopril for hypertension. The GP sends a prescription and asks the pharmacy what baseline and follow-up checks are needed. What monitoring is required?

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

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Correct answer: C — Renal function and serum potassium before treatment and after initiation

ACE inhibitors can affect renal function and potassium, particularly soon after starting. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.

Reference: BNF; NICE CKS