<prompt> Systemic adverse effects of long term inhaled steroids are evident only at doses more than ?200 mcgday400 mcgday600 mcgday800 mcgday  <response>: Ans. is c i.e., 600 mcgday. lRef: KDT Vhle p. 230Systemic effects of long-term inhaled glucocoicoids are clinically relevant only at doses 600 mcgday.The significant ones are-mood changes, osteoporosis, growth retardation in children, bruising, petechiae, hyperglycaemia and pituitary-adrenal suppression; several repos of adrenal crisis have appeared, especially in children, during stress of an infection, etc. 