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NSAID ulcer risk — GPhC CRA MCQ

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ModerateGastrointestinal TherapeuticsNSAID ulcer riskGPhC CRA

A patient with previous bleeding peptic ulcer and low-dose aspirin asks to buy ibuprofen for shoulder pain. What is the most appropriate alternative?

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Correct answer: A — Recommend paracetamol and refer if analgesia is inadequate

Previous peptic ulcer disease makes OTC NSAID supply higher risk, so paracetamol is the safer first option. This makes recommend paracetamol and refer if analgesia is inadequate 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; NICE CKS