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Rosuvastatin in severe CKD — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsRosuvastatin in severe CKDGPhC CRA

A man with eGFR 24 mL/min/1.73 m² is prescribed rosuvastatin 40 mg daily after a lipid review. Which aspect of this prescription requires clarification before supply?

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

Reveal the answer and explanation

Correct answer: EThe rosuvastatin dose in severe renal impairment

This scenario assesses Rosuvastatin in severe CKD in a UK pharmacy practice context. Rosuvastatin exposure increases in renal impairment and high doses may be unsuitable in severe CKD. The best answer is Query the dose because severe renal impairment increases toxicity risk 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: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment