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Constipation with red flags — GPhC CRA MCQ

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ModerateGastrointestinal TherapeuticsConstipation with red flagsGPhC CRA

A 69-year-old woman asks for a laxative for new constipation. She also reports rectal bleeding and unintentional weight loss over two months. What is the most appropriate action?

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

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Correct answer: C — Refer for medical assessment rather than supplying laxative alone

New change in bowel habit with rectal bleeding and weight loss is concerning and needs medical assessment. Laxatives may relieve symptoms but should not delay investigation. Iron should not be started without assessment of the cause.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment