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DMARD infection warning — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsDMARD infection warningGPhC CRA

A patient taking leflunomide for rheumatoid arthritis asks about a fever and sore throat. She is due to collect her repeat prescription today. What would you advise the patient?

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

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Correct answer: B — Advise urgent blood test or clinical review because infection or blood dyscrasia must be considered

DMARDs can increase infection risk and may cause blood dyscrasias. Fever and sore throat should prompt clinical review and blood count advice. Repeat supply should not proceed as a purely routine transaction.

Reference: BNF; NICE CKS