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High-intensity statin choice — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsHigh-intensity statin choiceGPhC CRA

A 59-year-old man after non-ST-elevation myocardial infarction is prescribed simvastatin 40 mg nightly. The discharge summary asks for high-intensity lipid-lowering treatment. 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 — Atorvastatin 80 mg once daily

High-intensity statin therapy after acute coronary syndrome is commonly atorvastatin 80 mg unless unsuitable. 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