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Hydroxychloroquine retinal monitoring — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsHydroxychloroquine retinal monitoringGPhC CRA

A 56-year-old woman taking hydroxychloroquine for rheumatoid arthritis asks why the clinic has arranged eye screening. She has no visual symptoms. What monitoring is required?

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

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Correct answer: E — Retinal monitoring because hydroxychloroquine can cause retinopathy

Hydroxychloroquine can cause retinal toxicity, particularly with long duration or higher risk factors. Baseline and ongoing ophthalmic monitoring are used to detect early toxicity. Patients should report visual changes promptly.

Reference: BNF; Royal College of Ophthalmologists guidance