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Steroid emergency — GPhC CRA MCQ

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ModerateEndocrine TherapeuticsSteroid emergencyGPhC CRA

A patient on long-term prednisolone has fever and is unable to keep tablets down due to vomiting. What is the most appropriate action?

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

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Correct answer: A — Arrange urgent medical assessment for parenteral steroid cover

Patients on long-term corticosteroids may need urgent steroid replacement during vomiting illness. In this vignette, "Arrange urgent medical assessment for parenteral steroid cover" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; NICE CKS