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Allergic rhinitis — USMLE Step 3 MCQ

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EasyAmbulatory Medicine / Primary CareAllergic rhinitisUSMLE Step 3

A 26-year-old man has sneezing, nasal pruritus, watery rhinorrhea, and itchy eyes every spring. He is afebrile. Nasal mucosa is pale and boggy. Lungs are clear. Which of the following is the most appropriate next step in management?

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Correct answer: BStart intranasal corticosteroid therapy

Intranasal corticosteroids are first-line therapy for persistent allergic rhinitis symptoms.

Reference: AAAAI/ACAAI Rhinitis Practice Parameter