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Sitagliptin abdominal pain — GPhC CRA MCQ

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EasyEndocrine TherapeuticsSitagliptin abdominal painGPhC CRA

A man on sitagliptin develops severe upper abdominal pain radiating to the back with vomiting. What is the most appropriate action?

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

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Correct answer: CAdvise urgent assessment for possible pancreatitis

This scenario assesses Sitagliptin abdominal pain in a UK pharmacy practice context. DPP-4 inhibitors have been associated with pancreatitis, and the symptom pattern is concerning. The best answer is Advise urgent assessment for possible pancreatitis 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