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Pharmacology · Respiratory drugs
Sample itemWhy should inhaled corticosteroids be used with a spacer and mouth rinse when appropriate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Reduce local oral candidiasis risk
Deposited inhaled corticosteroid in the oropharynx can promote candidiasis and dysphonia; spacer use and mouth rinsing reduce local exposure.
Option by option
A. Prevent systemic anticoagulation
Inhaled steroid does not anticoagulate.
B. Replace rescue inhaler use
Rescue bronchodilator remains needed for acute symptoms.
C. Reduce local oral candidiasis risk (correct)
Correct: these measures reduce local steroid deposition.
D. Cause faster bronchodilation
Bronchodilation is not its immediate primary action.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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