skip to main content

NSAID gastroprotection — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

ModerateGastro-intestinal TherapeuticsNSAID gastroprotectionGPhC CRA

A 68-year-old woman taking naproxen 500 mg twice daily for osteoarthritis asks for repeat supply of omeprazole. She has a history of peptic ulcer and also takes aspirin 75 mg daily. What is the most appropriate action?

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

Reveal the answer and explanation

Correct answer: E — Continue gastroprotection and review NSAID need

Age, previous ulcer disease, NSAID use and antiplatelet therapy create a high gastrointestinal bleeding risk. A PPI is appropriate gastroprotection while NSAID need is reviewed. The pharmacist should also consider cardiovascular, renal and bleeding risks of ongoing naproxen.

Reference: BNF; NICE CKS