skip to main content

DOAC renal function check — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

ModerateCardiovascular TherapeuticsDOAC renal function checkGPhC CRA

A patient on dabigatran for atrial fibrillation has not had renal function checked for over a year. They are elderly and now requests an urgent repeat prescription. What monitoring is required?

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

Reveal the answer and explanation

Correct answer: D — Query supply and arrange renal function review promptly

Dabigatran is substantially renally cleared, so renal impairment can increase exposure and bleeding risk. An elderly patient with overdue monitoring needs prompt review rather than indefinite continuation without checks. In this scenario, the correct option is query supply and arrange renal function review promptly. The other options are plausible but do not address the key clinical, legal or safety issue as directly. This aligns with UK pharmacy practice guidance cited in the reference field.

Reference: BNF