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Constipation obstruction — GPhC CRA MCQ

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ModerateGastrointestinal TherapeuticsConstipation obstructionGPhC CRA

A patient asks for senna but reports severe abdominal pain, vomiting and no flatus for two days. What is the most appropriate action?

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

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Correct answer: A — Refer urgently for medical assessment

Constipation with vomiting and failure to pass flatus may indicate bowel obstruction. In this vignette, "Refer urgently for medical assessment" 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