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ICS Side Effects — RACP Paediatrics MCQ

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EasyRespiratoryICS Side EffectsRACP Paediatrics

A 10-year-old boy with well-controlled asthma on ICS/LABA is noted to have a hoarse voice and oral thrush. Which aspect of his inhaler technique is most likely the issue?

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Correct answer: D — Not rinsing the mouth after inhaler use

Oropharyngeal candidiasis and dysphonia are local side effects of ICS, significantly reduced by rinsing the mouth with water after each dose and using a spacer device. Spacer use also reduces oropharyngeal deposition.

Reference: National Asthma Council Australia – 2024 – Australian Asthma Handbook