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Oral corticosteroid adverse effects — GPhC CRA MCQ

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EasyRespiratory TherapeuticsOral corticosteroid adverse effectsGPhC CRA

A 58-year-old woman is prescribed prednisolone 40mg daily for five days for an asthma exacerbation. She has type 2 diabetes managed with metformin and gliclazide. What would you advise the patient?

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

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Correct answer: C — Monitor capillary blood glucose more closely during the steroid course

Systemic corticosteroids can increase blood glucose, particularly in people with diabetes. Short courses are commonly used for exacerbations, but the patient should monitor glucose and seek advice if readings rise significantly. Morning dosing may reduce insomnia and mimic physiological cortisol rhythm. NSAIDs may increase gastrointestinal risk and are not routinely needed.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment