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Allergic Rhinitis Treatment — RACP Paediatrics MCQ

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EasyRespiratoryAllergic Rhinitis TreatmentRACP Paediatrics

A 12-year-old boy presents with chronic rhinitis, nasal congestion, sneezing, and clear rhinorrhoea. Symptoms are perennial but worse in spring. He has allergic shiners and a nasal crease from frequent nose-rubbing. What is the first-line pharmacological treatment?

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Correct answer: A — Intranasal corticosteroid spray

Intranasal corticosteroids are the most effective first-line treatment for moderate-severe allergic rhinitis. They reduce congestion, rhinorrhoea, sneezing, and itching. Oral antihistamines are second-line or adjunctive. Allergen immunotherapy is reserved for inadequate response to pharmacotherapy.

Reference: Therapeutic Guidelines – 2024 – Rhinitis