Pharmacology · single question

Which laboratory test should be monitored in a patient on methotrexate (and a TNF inhibitor)?

  1. Renal function (creatinine/creatinine clearance) — and liver/CBC
  2. Fasting glucose only
  3. Thyroid panel
  4. Amylase
Show answer and explanation

Correct answer: A. Renal function (creatinine/creatinine clearance) — and liver/CBC

  • A. Correct. Methotrexate is renally cleared and hepatotoxic/myelosuppressive, so creatinine clearance, liver enzymes, and CBC are monitored.
  • B. Glucose is not the key methotrexate-monitoring test.
  • C. Thyroid studies are unrelated to methotrexate safety.
  • D. Amylase is not part of methotrexate monitoring.

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