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Asthma exacerbation risk — GPhC CRA MCQ

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HardRespiratory TherapeuticsAsthma exacerbation riskGPhC CRA

A 46-year-old woman with asthma is using salbutamol before exercise and beclometasone intermittently. She has had two courses of oral prednisolone in 6 months and peak flow today is 65% of her best. What is the most appropriate action?

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Correct answer: C — Refer for urgent asthma review and assess adherence and inhaler technique

Recent oral steroid courses and reduced peak flow indicate poor control and increased exacerbation risk. The pharmacist should ensure reliever access if needed but must prompt urgent clinical review, adherence assessment, and inhaler technique check. Intermittent preventer use is a common reason for poor control.

Reference: NICE CKS; BNF