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Chapter 63. Allergic Rhinitis

Student Questions

Which symptom is least typical of allergic rhinitis?

A. Sneezing

B. Rhinorrhea

C. Ocular itching

D. Wheezing

Answer: D

Option A: Incorrect. Sneezing is a typical general symptom seen with allergic rhinitis.

Option B: Incorrect. Rhinorrhea (usually clear and bilateral, primarily anterior but may be posterior [postnasal drip]) is a typical general symptom seen with allergic rhinitis.

Option C: Incorrect. Ocular itching (as well as redness, tearing, chemosis, periorbital edema) is a symptom that can be seen with allergic rhinitis.

Option D: Correct. Wheezing is not a symptom specific to allergic rhinitis, it may be noted in patients with asthma and allergic rhinitis, but this is not a manifestation of allergic rhinitis alone.

At what age are allergies least likely to cause rhinitis symptoms and thus most likely need additional evaluation for further for other causes of rhinitis?

A. 18 months

B. 24 months

C. 18 years

D. 65 years

Answer: A

Option A: Correct. Younger children with allergies are likely present with other symptoms such as sneezing and itching

Option B: Incorrect. Older children and adults are more likely to present with typical symptoms such as rhinitis.

Option C: Incorrect. Older children and adults are more likely to present with typical symptoms such as rhinitis.

Option D: Incorrect. Older children and adults are more likely to present with typical symptoms such as rhinitis.

Which medication is most effective for most symptoms of AR?

A. Azelastine nasal spray

B. Cromolyn intranasal spray

C. Fluticasone propionate nasal spray

D. Loratadine tablet

Answer: C

Option A: Incorrect. INCs are the most effective therapy and considered first line agents for AR as per current guidelines. Intranasal antihistamines are less effective than INCs for nasal congestion, one of the typical symptoms of AR.

Option B: Incorrect. INCs are the most effective therapy and considered first line agents for AR as per current guidelines. Mast cell stabilizers, such as cromolyn, are moderately effective but less so than INCs.

Option C: Correct. INCs are the most ...

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