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ENT · Nasal care
Sample itemWhat is a safe controller treatment for persistent allergic rhinitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Correctly used intranasal corticosteroid
Intranasal corticosteroids reduce allergic inflammation and congestion when used correctly over an adequate period without decongestant overuse.
Option by option
A. Correctly used intranasal corticosteroid (correct)
Correct: topical steroid is effective controller therapy.
B. Daily topical decongestant indefinitely
Decongestant overuse causes rebound congestion.
C. Emergency sinus surgery
Surgery is not first-line uncomplicated management.
D. Routine oral antibiotics
Antibiotics do not treat allergy.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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