This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pharmacology
Which is the most common side effect of inhaled beclomethasone dipropionate: 
Select and explain. 
A. Oropharyngeal candidiasis, B. Pneumonia, C. Atrophic rhinitis, D. Pituitary adrenal suppression
A: Oropharyngeal candidiasis
Answer: A: Oropharyngeal candidiasis 
Explanation: Most of the side effects of steroids are mainly hoarseness, oropharyngeal candidiasis, decreased growth in children with adrenal suppression.
• The plausible explanation is that since these drugs are inhaled, they avoid the first pass metabolism that orally administered steroids undergo and hence have a preponderance to cause the usual manifestations of steroid toxicity.