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Inhaled corticosteroid oral thrush — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsInhaled corticosteroid oral thrushGPhC CRA

A patient using beclometasone inhaler presents with sore white plaques in the mouth. Their inhaler technique is poor. What is the most appropriate action?

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

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Correct answer: D — Treat suspected thrush and reinforce spacer use and mouth rinsing

Inhaled corticosteroids increase oral candidiasis risk; prevention includes rinsing and correct technique. In this vignette, "Treat suspected thrush and reinforce spacer use and mouth rinsing" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; NICE CKS