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Levothyroxine pregnancy — GPhC CRA MCQ

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ModerateEndocrine TherapeuticsLevothyroxine pregnancyGPhC CRA

A woman taking levothyroxine has a positive pregnancy test and routine review is eight weeks away. What is the most appropriate alternative?

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

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Correct answer: E — Prompt GP review for thyroid testing and dose assessment

This scenario assesses Levothyroxine pregnancy in a UK pharmacy practice context. Levothyroxine requirements may increase in pregnancy and early thyroid control is important. The best answer is Prompt GP review for thyroid testing and dose assessment 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: NICE CKS; BNF