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Seasonal allergic rhinitis — USMLE Step 3 MCQ

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EasyAmbulatory Medicine / Primary CareSeasonal allergic rhinitisUSMLE Step 3

A 24-year-old woman has sneezing, nasal pruritus, watery rhinorrhea, and congestion every spring. Examination shows pale boggy nasal mucosa and clear secretions. She has no fever or facial pain. Which of the following is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: EAllergic rhinitis

Seasonal sneezing, pruritus, watery rhinorrhea, and pale boggy turbinates are typical of allergic rhinitis.

Reference: AAAAI/ACAAI rhinitis guidance; USMLE Step 3 Content Outline