A 22-year-old college student has sneezing, clear rhinorrhea, nasal itching, and watery eyes every spring. Examination shows pale boggy nasal mucosa

Question

A 22-year-old college student has sneezing, clear rhinorrhea, nasal itching, and watery eyes every spring. Examination shows pale boggy nasal mucosa and no fever. Which of the following is the most appropriate initial treatment?

Accepted Answer

Intranasal corticosteroid spray

Answer

Oral amoxicillin-clavulanate

Answer

Immediate sinus CT

Answer

Nasal decongestant spray for 3 months

Answer

Systemic antifungal therapy

Allergic rhinitis — ABFM Board MCQ

A 22-year-old college student has sneezing, clear rhinorrhea, nasal itching, and watery eyes every spring. Examination shows pale boggy nasal mucosa and no fever. Which of the following is the most appropriate initial treatment?