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Steroid inhaler counselling — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareSteroid inhaler counsellingGPhC CRA

A patient using high-dose inhaled corticosteroid has hoarseness and oral soreness. They are not using a spacer. What would you advise the patient?

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

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Correct answer: A — Review technique, spacer use and mouth rinsing

Local steroid adverse effects can be reduced by optimising technique, using a spacer where appropriate and rinsing the mouth. Persistent symptoms may need clinical review. In this scenario, the correct option is review technique, spacer use and mouth rinsing. The other options are plausible but do not address the key clinical, legal or safety issue as directly. This aligns with UK pharmacy practice guidance cited in the reference field.

Reference: BNF; NICE CKS