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Oral thrush inhaled steroid — GPhC CRA MCQ

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EasyInfectionsOral thrush inhaled steroidGPhC CRA

A man using high-dose inhaled fluticasone presents with white oral plaques and soreness. He has no systemic symptoms and can swallow. What is the most appropriate action?

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Correct answer: B — Recommend appropriate antifungal treatment and reinforce mouth-rinsing and inhaler technique

Inhaled corticosteroids can predispose to oral candidiasis. Treatment may be appropriate depending on local protocols, alongside prevention advice such as rinsing the mouth and checking technique. Stopping preventer therapy without review risks asthma or COPD deterioration.

Reference: BNF; NICE CKS