Post-MI beta-blocker — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsPost-MI beta-blockerGPhC CRA

A patient recently discharged after myocardial infarction has a prescription query about secondary prevention. They are not asthmatic and pulse is 78 bpm. What is the most appropriate alternative?

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Correct answer: E — Bisoprolol

A beta-blocker is commonly used after myocardial infarction when not contraindicated. In this vignette, "Bisoprolol" 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