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Allergic rhinitis — DCH MCQ

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ModerateCommon childhood illnessesAllergic rhinitisDCH

A 9-year-old boy has sneezing, itchy eyes and blocked nose each June. He has pale swollen nasal mucosa, no fever, and symptoms impair sleep during school exams. What is the most appropriate management?

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

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Correct answer: B — Regular intranasal corticosteroid during the season

Seasonal allergic rhinitis affecting sleep is best managed with regular intranasal corticosteroid, often with antihistamine if needed. Antibiotics and CT imaging are not indicated when symptoms are seasonal and allergic rather than infective. The pearl is to check inhaler technique-like use of nasal spray because poor technique reduces benefit.

Reference: BSACI guideline; NICE CKS Allergic rhinitis