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What are acute complications of allergic rhinitis? (Select All)
Sneezing
Nasal Polyps (chronic)
Conjunctivitis
Hyposmia (Chronic and Acute)
Post Nasal Drip
Sleep Apnea (Chronic)
What are acute complications of allergic rhinitis? (Select All)
Sneezing
Nasal Polyps (chronic)
Conjunctivitis
Hyposmia (Chronic and Acute)
Post Nasal Drip
Sleep Apnea (Chronic)
*Hyposmia and Sinusitis are common to both; sleep apnea and nasal polyps are resulting from chronic
Episodic allergic rhinitis can be described as:
Hay fever
Short-term allergy to neighbor's cat
Allergens in a person’s home
Hay fever - Seasonal/ during specific periods of the year
Short-term allergy to neighbor's cat
Allergens in a person’s home - Occur on exposure or contact with potential allergens not normally a part of the person’s environment
Which of the following pharmacologic therapy is most effective in treating allergic rhinitis?
Intranasal Corticosteroids
Antihistamines
Decongestants
Mast Cell Stabilizers
INCs
First generation antihistamines are contraindicated for which of the following groups:
Narrow-angle glaucoma
Bladder Obstruction
Healthy adolescents
Symptomatic BPH
Narrow-angle glaucoma
Bladder Obstruction
Healthy adolescents
Symptomatic BPH
T/F Non-sedating antihistamines have to a quicker onset of action but may require multiple day dosing
False
Non-sedating antihistamines require once a day dosing
Sedating antihistamines have a quicker onset but require more frequent (q4-6 hour dosing) onset of action
Which of the following medications should be avoided in older adult populations?
Loratidine
Cromolyn
Fexofenadine
Diphenhydramine
Loratidine
Cromolyn
Fexofenadine
Diphenhydramine - 1st generation antihistamine —> can cause drowsiness
OTC antihistamine products are available in which dosage forms
ODT
Injection
Solution
Immediate Release
Patches
Chewable Tablets
ODT
Injection
Solution
Immediate Release
Patches
Chewable Tablets
Which of the following are exclusions for self treatment:
Severe or unacceptable side effects from treatment
Symptoms of otitis media
Uncontrolled asthma and COPD
Pt is less than 16 yo
Hyposmia
Sneezing and Watery Rhinorrhea
Severe or unacceptable side effects from treatment
Symptoms of otitis media
Uncontrolled asthma and COPD
Pt is less than 16 yo —> should be 12 years to meet criteria
Hyposmia —> indicative of allergic rhinitis
Sneezing and Watery Rhinorrhea —> indicative of allergic rhinitis
Which of the following is first-line treatment for allergic rhinitis in pregnancy?
Diphenhydramine
Cromolyn Sodium
Loratadine
Triamcinolone
Cromolyn Sodium
Which of the following is the best recommendation for a 10 y.o pt with a runny nose and an itchy throat?
Diphenhydramine 25 mg qd
Loratadine 10 mg qd
Fexofenadine 180 mg qd
Cetirizine 2.5 mg qd
Diphenhydramine 25 mg qd —→ should be 150 mg
Loratadine 10 mg qd
Fexofenadine 180 mg qd —> should be 60 mg
Cetirizine 2.5 mg qd —> should be 10 mg