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Angina and suspected ACS — GPhC CRA MCQ

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HardCardiovascular TherapeuticsAngina and suspected ACSGPhC CRA

A 66-year-old man with stable angina uses glyceryl trinitrate spray. He reports chest pain at rest lasting 12 minutes despite two doses 5 minutes apart; he looks clammy in the pharmacy. What is the most appropriate action?

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

Reveal the answer and explanation

Correct answer: C — Call emergency medical help and advise a further GTN dose if appropriate

Chest pain at rest that persists despite GTN may represent acute coronary syndrome. The patient needs emergency assessment, with further GTN considered if blood pressure and local advice allow. Treating as dyspepsia or delaying review would be unsafe.

Reference: NICE CKS; BNF