A 9-year-old boy has persistent nasal congestion, sneezing, and itchy eyes each spring. He has no fever or wheeze. Examination shows pale boggy nasal

Question

A 9-year-old boy has persistent nasal congestion, sneezing, and itchy eyes each spring. He has no fever or wheeze. Examination shows pale boggy nasal mucosa and clear rhinorrhea. His parent asks for an effective first-line controller. Which of the following is the most appropriate at this time?

Accepted Answer

Use intranasal corticosteroid spray

Answer

Use oral antibiotics for 14 days

Answer

Start daily oral prednisone for the season

Answer

Give intranasal decongestant for 2 months

Answer

Order sinus CT before treatment

Seasonal allergic rhinitis — USMLE Step 3 MCQ

A 9-year-old boy has persistent nasal congestion, sneezing, and itchy eyes each spring. He has no fever or wheeze. Examination shows pale boggy nasal mucosa and clear rhinorrhea. His parent asks for an effective first-line controller. Which of the following is the most appropriate at this time?