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Steroid inhaler counselling — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareSteroid inhaler counsellingGPhC CRA

A patient starting high-dose fluticasone inhaler is worried about hoarseness because they sing regularly. What would you advise the patient?

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

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Correct answer: D — Use correct technique, consider a spacer and rinse the mouth

Inhaled corticosteroids can cause dysphonia and candidiasis; technique, spacer use and rinsing reduce local effects. This makes use correct technique, consider a spacer and rinse the mouth the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: BNF; NICE CKS