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ENT · Nasal obstruction: allergic rhinitis
Sample itemA patient has recurrent sneezing, itchy eyes, clear rhinorrhea, and pale boggy nasal turbinates during pollen season. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Allergic rhinitis
Allergic rhinitis is IgE-mediated nasal inflammation causing itch, sneezing, rhinorrhea, and congestion, often with ocular symptoms. Allergen avoidance and intranasal treatment are commonly helpful.
Option by option
A. Atrophic rhinitis
Atrophic rhinitis causes crusting and a roomy nasal cavity.
B. Nasal foreign body
Foreign body causes unilateral offensive discharge, often in children.
C. Acute bacterial sinusitis
Bacterial sinusitis causes purulent discharge and facial pain with persistent symptoms.
D. Allergic rhinitis (correct)
Correct. Seasonal itch and pale boggy turbinates are characteristic.
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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