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SABA overuse — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsSABA overuseGPhC CRA

A 21-year-old student buys a second salbutamol inhaler this month. She wakes with wheeze twice weekly and uses salbutamol before walking uphill. She has no preventer inhaler on her repeat record. What would you advise the patient?

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

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Correct answer: B — Arrange same-week asthma review and explain that frequent salbutamol use suggests poor control

Frequent SABA use and nocturnal symptoms indicate suboptimal asthma control and increased risk of exacerbation. A preventer review is required rather than repeated reliever supply alone. A spacer may help technique but does not address missing anti-inflammatory treatment. The patient should be referred for review and given safety-netting about urgent care if symptoms worsen.

Reference: BNF; NICE CKS