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Ulcerative colitis flare — GPhC CRA MCQ

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ModerateGastro-intestinal TherapeuticsUlcerative colitis flareGPhC CRA

A woman with ulcerative colitis asks for loperamide for six bloody stools daily and abdominal pain. What is the most appropriate action?

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Correct answer: D — Refer urgently for possible inflammatory bowel disease flare

This scenario assesses Ulcerative colitis flare in a UK pharmacy practice context. Bloody diarrhoea and abdominal pain in ulcerative colitis require prompt assessment and loperamide may be unsafe. The best answer is Refer urgently for possible inflammatory bowel disease flare 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