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Suspected acute coronary syndrome — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsSuspected acute coronary syndromeGPhC CRA

A 58-year-old man asks for indigestion treatment but describes central chest pressure radiating to the left arm for 40 minutes. He is pale, sweaty and has taken no regular medicines today. What is the most appropriate action?

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

Reveal the answer and explanation

Correct answer: E — Arrange urgent transfer for emergency assessment and advise aspirin if not allergic

Chest pain with radiation and autonomic symptoms should be treated as possible acute coronary syndrome. 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