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Agranulocytosis warning — GPhC CRA MCQ

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ModerateAdverse Drug Reactions and Drug SafetyAgranulocytosis warningGPhC CRA

A patient taking carbimazole reports sore throat, fever and mouth ulcers. They ask for soluble paracetamol. What is the most appropriate action?

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Correct answer: E — Advise urgent full blood count assessment and medical review

Carbimazole can cause agranulocytosis, and infection symptoms are red flags. 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