Pancreatic enzyme counselling — GPhC CRA MCQ
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Correct answer: D — Stop deferiprone and obtain an urgent absolute neutrophil count
Explanation lettering: C = shown as A · D = shown as B · B = shown as C · A = shown as D
A is correct: fever and sore throat may herald deferiprone-induced neutropenia or agranulocytosis, so treatment is interrupted immediately and an ANC obtained without delay. B waits despite a potentially fatal adverse effect. C monitors iron burden rather than acute marrow toxicity. D may mask symptoms and does not address neutrophils. E confuses the relevant blood-cell lineage and leaves the suspected causative medicine in place.
Reference: Deferiprone 500 mg film-coated tablets SmPC. https://www.medicines.org.uk/emc/product/14674/smpc