skip to main content

Methotrexate counselling — GPhC CRA MCQ

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

EasyPatient Counselling and Pharmaceutical CareMethotrexate counsellingGPhC CRA

A patient starting methotrexate asks whether it is safe to take extra doses during a flare because pain is severe. What would you advise the patient?

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

Reveal the answer and explanation

Correct answer: E — Take methotrexate once weekly and seek advice for flare pain

Methotrexate dosing errors are high-risk. Patients must understand weekly dosing, folic acid instructions and when to seek help for toxicity. In this scenario, the correct option is take methotrexate once weekly and seek advice for flare pain. 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; MHRA Drug Safety Update