A 24-year-old man has sneezing, nasal congestion, and itchy eyes each spring. Examination shows pale boggy nasal mucosa. Diphenhydramine causes

Question

A 24-year-old man has sneezing, nasal congestion, and itchy eyes each spring. Examination shows pale boggy nasal mucosa. Diphenhydramine causes sedation. He has no fever or asthma exacerbation. Which of the following is the most appropriate next step in management?

Accepted Answer

Start an intranasal corticosteroid

Answer

Start chronic oral prednisone

Answer

Use daily decongestant spray long term

Answer

Order sinus CT before treatment

Answer

Prescribe oral antibiotics

Allergic rhinitis — USMLE Step 3 MCQ

A 24-year-old man has sneezing, nasal congestion, and itchy eyes each spring. Examination shows pale boggy nasal mucosa. Diphenhydramine causes sedation. He has no fever or asthma exacerbation. Which of the following is the most appropriate next step in management?