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DMARD monitoring — GPhC CRA MCQ

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EasyMusculoskeletal TherapeuticsDMARD monitoringGPhC CRA

A patient on methotrexate for rheumatoid arthritis asks why the GP keeps arranging blood tests despite improved joints. What monitoring is required?

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

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Correct answer: C — Full blood count, liver function and renal function

Methotrexate can cause bone marrow suppression, hepatotoxicity and renal-related toxicity. This makes full blood count, liver function and renal function the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: BNF; specialist shared-care guidance