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Suspected acute coronary syndrome — GPhC CRA MCQ

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HardCardiovascular TherapeuticsSuspected acute coronary syndromeGPhC CRA

A 62-year-old man in the pharmacy develops central crushing chest pain radiating to his left arm. He is pale and sweaty, and the pain started 20 minutes ago. He is not allergic to aspirin and is not taking anticoagulants. What is the most appropriate action?

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

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Correct answer: D — call 999 and give aspirin 300mg to chew while awaiting the ambulance

The symptoms suggest acute coronary syndrome and require emergency ambulance transfer. Aspirin 300mg chewed should be given promptly if there is no contraindication. GTN may help angina symptoms but must not delay emergency care. Sending the patient home or asking him to drive would be unsafe.

Reference: BNF; NICE CKS: Chest pain