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Warfarin counselling — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsWarfarin counsellingGPhC CRA

A 68-year-old man has started warfarin for a mechanical heart valve and brings his yellow anticoagulant booklet to the counter. What would you advise the patient?

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

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Correct answer: D — Take warfarin consistently and attend INR monitoring

This scenario assesses Warfarin counselling in a UK pharmacy practice context. Warfarin has a narrow therapeutic index and requires consistent dosing, INR monitoring and clear bleeding-risk counselling. The best answer is Take warfarin consistently and attend INR monitoring because it addresses the principal clinical, legal or safety issue before routine supply. The other options are less appropriate because they either miss the key risk, delay necessary review, or would not meet expected BNF, NICE, MEP, MHRA or GPhC practice standards.

Reference: BNF; MEP