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Chapter 63. Allergic Rhinitis

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Pick the symptom that is least characteristic of allergic rhinitis.

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A. Nasal itch

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B. Ocular itch

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C. Rhinorrhea

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D. Sneezing

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E. Wheezing

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Pick the symptom of allergic rhinitis that is usually the most bothersome.

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A. Allergic salute

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B. Chemosis

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C. Nasal congestion

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D. Postnasal drip (posterior rhinitis)

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E. Tearing eyes

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Which category of medication is the most effective for the majority of symptoms of allergic rhinitis?

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A. Intranasal antihistamine

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B. Intranasal antimuscarinic

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C. Intranasal corticosteroid

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D. Intranasal decongestant

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E. Intranasal mast cell stabilizer/cromone

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Which approach is best for treatment of rhinitis medicamentosa, along with tapering the intranasal decongestant?

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A. Intranasal olopatadine

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B. Intranasal fluticasone propionate + azelastine

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C. Intranasal saline irrigation

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D. Oral corticosteroid burst and taper

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E. Oral pseudoephedrine for 5 to 7 days

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Which agent would you recommend for treatment of ocular itch and tearing that is unresponsive to intranasal fluticasone propionate + azelastine?

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A. Intranasal cromolyn

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B. Intraocular ketotifen

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C. Intranasal mometasone

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D. Intraocular naphazoline

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E. Oral pseudoephedrine

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Which mode of therapy underlies the management of all patients with allergic rhinitis?

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A. Education about allergen avoidance

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B. Education about complications of allergic rhinitis

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C. Intranasal corticosteroids

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D. Intranasal saline irrigation

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E. Sublingual immunotherapy

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Which choice would be your recommendation to a 30-year-old woman who complains of runny nose, sneezing, and ocular tearing and itch, when episodically exposed to her friend's cats, as an OTC agent she could use ...

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