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ICS oral thrush — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsICS oral thrushGPhC CRA

A man using fluticasone inhaler has white mouth plaques and soreness and has not been rinsing after doses. What is the most appropriate alternative?

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

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Correct answer: C — Advise assessment and treatment for oral candidiasis and reinforce mouth rinsing

Local candidiasis is a recognised inhaled corticosteroid adverse effect. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.

Reference: BNF; NICE CKS