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Unstable angina symptoms — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsUnstable angina symptomsGPhC CRA

A 67-year-old man with stable angina asks for a repeat GTN spray. He says his chest pain now occurs at rest, lasts 15 minutes and required three doses yesterday. 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 emergency assessment because his angina pattern has become unstable

Angina occurring at rest, lasting longer or needing repeated GTN suggests unstable angina or ACS. The pharmacist should not manage this as routine stable angina. Emergency assessment is required because myocardial infarction risk is increased. GTN counselling should include calling emergency services if pain persists after initial doses according to local advice.

Reference: NICE CKS; BNF