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Broken methotrexate tablet — GPhC CRA MCQ

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ModerateDispensing and SupplyBroken methotrexate tabletGPhC CRA

A broken methotrexate tablet is found loose in the dispensing basket. What is the most appropriate action?

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

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Correct answer: EFollow cytotoxic handling and spillage procedures

This scenario assesses Broken methotrexate tablet in a UK pharmacy practice context. Methotrexate is cytotoxic and broken tablets require safe handling and disposal. The best answer is Follow cytotoxic handling and spillage procedures 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: COSHH; MEP