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Adrenal crisis risk — GPhC CRA MCQ

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HardEndocrine TherapeuticsAdrenal crisis riskGPhC CRA

A 29-year-old woman with Addison's disease presents with vomiting and diarrhoea and cannot keep down hydrocortisone tablets. She is dizzy and her partner has brought her steroid emergency card. What is the most appropriate action?

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

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Correct answer: D — Arrange emergency medical help because adrenal crisis is possible

A patient with adrenal insufficiency who cannot retain oral steroids is at risk of adrenal crisis. Vomiting, diarrhoea, and dizziness require urgent medical help and emergency steroid management according to the patient's plan. Oral rehydration alone is inadequate.

Reference: NICE CKS; BNF; NHS Steroid Emergency Card guidance