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Dual antiplatelet counselling after ACS — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsDual antiplatelet counselling after ACSGPhC CRA

A 58-year-old man is discharged after NSTEMI with aspirin, ticagrelor, bisoprolol, ramipril, atorvastatin 80 mg, and lansoprazole. He asks why he needs two antiplatelet tablets and whether to stop aspirin when bruising appears. What would you advise the patient?

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

Reveal the answer and explanation

Correct answer: B — Continue as prescribed and seek urgent advice for significant bleeding symptoms

Dual antiplatelet therapy is commonly prescribed after ACS to reduce recurrent thrombotic events. Minor bruising can occur, but significant bleeding, black stools, haematuria, or prolonged bleeding requires urgent advice. The patient should not stop antiplatelet therapy without specialist or prescriber input.

Reference: BNF; NICE CKS