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Poor asthma control — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsPoor asthma controlGPhC CRA

A 25-year-old woman buys salbutamol again after using two inhalers in six weeks. She wakes with wheeze twice weekly and is not using an inhaled corticosteroid. What is the most appropriate action?

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

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Correct answer: ARefer for asthma review and discuss need for anti-inflammatory preventer treatment

Frequent reliever use and nocturnal symptoms suggest poor asthma control and increased exacerbation risk. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.

Reference: BNF; NICE CKS; BTS/NICE/SIGN asthma guideline