Review Question - QID 210686

A 58-year-old man presents with his wife to his primary care physician for an annual check-up. The patient reports that he has been in his usual state of health except for a recent worsening of his seasonal allergies. His wife states that this happens every spring and that his symptoms include sneezing, runny nose, and watery eyes. The wife also asks about a lesion on the patient’s face that she noticed several weeks ago when the patient was wiping his nose. The patient has a history of hypertension and well-controlled diabetes. He takes lisinopril, aspirin, and metformin as prescribed. The patient’s temperature is 98°F (36.7°C), blood pressure is 130/78 mmHg, pulse is 72/min, and respirations are 14/min. Physical examination is notable for mild conjunctival injection bilaterally and a nodule located inferior to the left nasal ala, as shown in Figure A. Which of the following is the most appropriate treatment for this patient's diagnosis?