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Monitored dosage system suitability — GPhC CRA MCQ

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HardDispensing and SupplyMonitored dosage system suitabilityGPhC CRA

A carer asks for all medicines to be placed in a weekly monitored dosage system. The patient uses dispersible aspirin, glyceryl trinitrate spray, weekly alendronic acid and insulin. The patient has had recent confusion and missed insulin doses. What is the legal classification/requirement?

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Correct answer: E — Assess suitability of each medicine and address adherence risks beyond the tray

Not every medicine is suitable for a monitored dosage system. Insulin and GTN spray are not tray items, and alendronic acid has specific administration requirements. The recent missed insulin doses and confusion require a wider adherence and safety assessment. A tray alone may not address the highest-risk medicines.

Reference: MEP; BNF; GPhC Standards