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ENT · Nose and paranasal sinuses: ARIA classification
Sample itemA patient has nasal itching and sneezing on two days a week, each season lasting about six weeks, with normal sleep and daily activities. By the ARIA classification, how is this allergic rhinitis described?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Mild intermittent
ARIA classifies duration as intermittent (symptoms fewer than 4 days a week or fewer than 4 weeks) or persistent (more than 4 days a week and more than 4 weeks), and severity as mild or moderate-severe by effect on sleep, activities, work and school. This patient has fewer than 4 days a week and no impairment.
Option by option
A. Moderate-severe persistent
Both the duration and the severity criteria for this category are unmet.
B. Moderate-severe intermittent
Moderate-severe needs sleep disturbance or impairment of activities, which is absent.
C. Mild intermittent (correct)
Correct. Symptoms on fewer than four days a week with no impairment are mild intermittent.
D. Mild persistent
Persistent needs both more than four days a week and more than four weeks.
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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