Canadian Pharmacist Qualifying Exam Practice · Question
When counselling on a metered-dose inhaler (MDI) without a spacer, the patient should:
Slow deep inhalation (~30 L/min) coordinated with actuation; hold breath ~10 s; rinse mouth with ICS to prevent oral candidiasis; consider spacer.
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Question: When counselling on a metered-dose inhaler (MDI) without a spacer, the patient should:
Answer options:
- Inhale quickly and forcefully ✅ Shake, exhale, slow deep inhalation while actuating, hold breath ~10 s
- Hold breath 30 minutes
- Lie down
Correct answer: Shake, exhale, slow deep inhalation while actuating, hold breath ~10 s
Explanation: Slow deep inhalation (~30 L/min) coordinated with actuation; hold breath ~10 s; rinse mouth with ICS to prevent oral candidiasis; consider spacer.
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