Isotretinoin monitoring — GPhC CRA MCQ

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HardAdverse Drug Reactions and Drug SafetyIsotretinoin monitoringGPhC CRA

A patient on isotretinoin asks why pregnancy tests and blood tests are repeatedly requested. They feel well. What monitoring is required?

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Correct answer: E — Pregnancy testing, lipid and liver monitoring according to specialist protocol

Isotretinoin is teratogenic and can affect liver enzymes and lipids. 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; MHRA; GPhC Standards