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Patellar tendinopathy — MRCGP AKT MCQ

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HardTendinopathyPatellar tendinopathyMRCGP AKT

An adult is newly diagnosed with primary adrenal insufficiency and receives education about adrenal crisis. How should community access to emergency hydrocortisone be arranged according to NICE?

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Correct answer: B — Provide 3 kits and train the patient and likely users

The best answer is “Provide 3 kits and train the patient and likely users”. NICE advises giving people with primary or secondary adrenal insufficiency 2 or 3 emergency management kits. Each contains intramuscular hydrocortisone with the necessary needles, syringes and instructions, and the person and relevant family members or carers should be trained to use it and check expiry dates. An intramuscular emergency dose can be given by anyone, including self-administration, when adrenal crisis is suspected. Access does not depend on a previous crisis or travel and should not be confined to a clinic.

Reference: NICE NG243: Adrenal insufficiency identification and management: https://www.nice.org.uk/guidance/ng243/chapter/recommendations