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Methotrexate safety — GPhC CRA MCQ

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EasyMusculoskeletal TherapeuticsMethotrexate safetyGPhC CRA

A patient takes methotrexate for rheumatoid arthritis and asks why they need regular blood tests. What monitoring is required?

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

Reveal the answer and explanation

Correct answer: EFull blood count, liver function tests and renal function

Methotrexate can cause myelosuppression, hepatotoxicity and toxicity in renal impairment. In this vignette, "Full blood count, liver function tests and renal function" 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