skip to main content

Oral thrush inhaled steroid — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

EasyInfectionsOral thrush inhaled steroidGPhC CRA

A 42-year-old man using a high-dose inhaled corticosteroid develops white plaques in the mouth that scrape off and leave soreness. He asks how to prevent this recurring. What would you advise the patient?

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

Reveal the answer and explanation

Correct answer: B — Rinse the mouth after inhaled corticosteroid doses and check inhaler technique

Oral candidiasis can occur with inhaled corticosteroids. Mouth rinsing and optimising inhaler technique reduce local steroid deposition. Treatment may be needed for current thrush depending on severity and clinical assessment. Stopping preventer therapy without review may worsen asthma control.

Reference: NICE CKS; BNF