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Intravenous penicillin
0%
0/16
Oral amoxicillin
Oral acetaminophen
Intranasal fluticasone
100%
16/16
Intravenous vancomycin
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The patient’s clinical presentation is most consistent with allergic rhinitis. Intranasal fluticasone is a treatment option. Allergic rhinitis is characterized by inflammation of the nasal mucosa caused by an allergic response to environmental allergens. Common symptoms include nasal congestion, watery rhinorrhea, sneezing, and watery eyes. Symptoms are often seasonal, corresponding to seasonal allergens, or are associated with exposure to other environmental allergens, such as pets. Sur and Scandale discuss various treatment options for allergic rhinitis. They suggest nasal saline irrigation, intranasal corticosteroids, oral antihistamines, decongestants, and leukotriene receptor antagonists among other treatments. In addition, avoidance of allergen triggers as well as immunotherapy are commonly used in treatment this common condition. Antibiotics are not indicated for treatment. Quillen and Feller discuss the diagnosis of allergic and nonallergic rhinitis. They suggest a thorough history and physical examination are helpful in distinguishing these two conditions, particularly asking questions regarding potential environmental triggers. It is important to make the distinction between the two as treatment for allergic rhinitis may not be as effective in patients with nonallergic rhinitis. Incorrect Answers: Answer 1-3, 5: These are not treatments for allergic rhinitis.
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