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Poor asthma control — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsPoor asthma controlGPhC CRA

A 24-year-old woman buys salbutamol inhalers frequently and says she uses 4 to 6 puffs most days. She has no preventer inhaler on her PMR and woke with wheeze twice last week. What is the most appropriate action?

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

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Correct answer: C — Refer to the GP for review and preventer initiation

Frequent SABA use and night waking indicate poor asthma control and increased risk of exacerbation. A preventer strategy and inhaler technique review are needed rather than repeated reliever supply alone. The pharmacist should safety-net for acute severe symptoms and arrange prompt review.

Reference: NICE CKS; BNF