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Secondary prevention after MI — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsSecondary prevention after MIGPhC CRA

A discharge prescription after myocardial infarction includes aspirin, atorvastatin, bisoprolol and ramipril. The pharmacist notices no P2Y12 inhibitor is listed. What is the most appropriate alternative?

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

Reveal the answer and explanation

Correct answer: D — Clarify whether clopidogrel or another P2Y12 inhibitor is intended

Dual antiplatelet therapy is commonly used after acute coronary syndrome unless contraindicated. 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