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Allergic Rhinitis (PG)
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Course Curriculum
1. What is the most common cause of allergic rhinitis in the UK?
*
Food allergens
Dust mites
Tree pollen
Grass pollen
2. Which of the following is NOT a typical symptom of allergic rhinitis?
*
Nasal congestion
Sneezing
Watery rhinorrhoea
Purulent nasal discharge
3. Which first-line pharmacological treatment is recommended for persistent allergic rhinitis?
*
Oral corticosteroids
Topical nasal corticosteroids
Decongestants
Leukotriene receptor antagonists
4. Which of the following is a common side effect of intranasal corticosteroids?
*
Nasal septal perforation
Insomnia
Epistaxis
Bradycardia
5. What is the role of antihistamines in allergic rhinitis?
*
Reduce nasal congestion only
Suppress immune system broadly
Block histamine-mediated symptoms
Eliminate allergen production
6. What non-pharmacological approach is recommended in allergic rhinitis management?
*
Avoidance of identified allergens
Hypertonic saline irrigation only
Use of facial masks continuously
Permanent residence indoors
7. Which type of hypersensitivity reaction underlies allergic rhinitis?
*
Cytotoxic
IgE-mediated
Immune complex
Delayed
8. Which of the following is a potential complication of uncontrolled allergic rhinitis?
*
Sinusitis
Nystagmus
Dysphonia
Ageusia
9. In children with allergic rhinitis, what comorbidity should be considered?
*
Coeliac disease
Atopic dermatitis
Type 1 diabetes
Juvenile arthritis
10. What is the purpose of skin prick testing in allergic rhinitis?
*
To treat allergy directly
To exclude non-allergic rhinitis
To identify specific allergens
To monitor drug levels
11. Which leukotriene receptor antagonist may be used in allergic rhinitis?
*
Salbutamol
Beclometasone
Montelukast
Cetirizine
12. Which seasonal pattern is most typical of grass pollen-induced allergic rhinitis?
*
Spring only
Late spring to early summer
Late summer to early autumn
Winter
13. Which symptom is more specific to allergic rhinitis compared to viral rhinitis?
*
Sneezing
Watery nasal discharge
Post-nasal drip
Itchy nose and eyes
14. Which class of drug is most effective at reducing nasal inflammation?
*
Oral antihistamines
Intranasal corticosteroids
Decongestants
Systemic antibiotics
15. Which nasal spray is NOT recommended for long-term use due to rebound congestion?
*
Beclometasone
Fluticasone
Oxymetazoline
Mometasone
16. Which of the following is true regarding allergic rhinitis in pregnancy?
*
All antihistamines are contraindicated
Cetirizine is preferred
Nasal steroids are unsafe
Desensitisation therapy must always be started
17. What is the typical duration required to assess response to intranasal corticosteroids?
*
12 hours
2–3 days
2–3 weeks
4-6 weeks
18. Which eye symptoms are commonly associated with allergic rhinitis?
*
Conjunctival discharge
Blurred vision
Photophobia
Itching and watering
19. Which immunotherapy approach is used in severe allergic rhinitis unresponsive to other treatments?
*
Subcutaneous allergen immunotherapy
Monoclonal antibody therapy
Chemotherapy
IVIG infusion
20. Which of the following is least likely to be a trigger in perennial allergic rhinitis?
*
Tree pollen
Pet dander
House dust mites
Mould spores