DOAC renal monitoring — GPhC CRA MCQ

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ModerateRenal and Hepatic ImpairmentDOAC renal monitoringGPhC CRA

A patient taking apixaban for atrial fibrillation asks why the GP checks kidney function when INR checks are not needed. What monitoring is required?

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

Reveal the answer and explanation

Correct answer: A — Renal function, liver function, full blood count and bleeding risk review periodically

DOACs do not need routine INR monitoring but do require clinical and renal review. 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