PHRM 3820 Allergic Rhinitis Questions with Correct Answers
(Grade A+)
Question 1: allergic rhinitis
Answer: systemic disease with prominent nasal symptoms usually begins after 2 yrs prevalence is higher in
southern US
Question 2: risk factors for allergic rhinitis
Answer: family history elevated IgE before age 6 higher socioeconomic class eczema positive reaction to
skin tests
Question 3: aeroallergens
Answer: airborne environmental allergens that trigger allergic rhinitis
Question 4: outdoor triggers of allergic rhinitis
Answer: pollen and mold spores pollutants
Question 5: indoor triggers of allergic rhinitis
Answer: cigarette smoke dust mites pet dander cockroaches
Question 6: occupational triggers of allergic rhinitis
Answer: wool dust latex resins organic dusts chemicals
Question 7: 4 phases of allergic rhinitis
Answer: sensitization phase early phase cellular recruitment late phase
Question 8: 2 types of allergic rhinitis (old)
Answer: seasonal allergic rhinitis (hay fever) perennial allergic rhinitis
Question 9: 2 types of allergic rhinitis (current)
Answer: intermittent allergic rhinitis (IAR) persistent allergic rhinitis (PAR)
Question 10: intermittent allergic rhinitis
Answer: symptoms up to 4 days per week or up to 4 weeks
Page 1
, Question 11: persistent allergic rhinitis
Answer: symptoms >4 days per week and >4 weeks
Question 12: nasal symptoms of allergic rhinitis
Answer: itchy eyes, nose, palate repetitive sneezing profuse watery rhinorrhea postnasal drip nasal
congestion red, irritated eyes with conjunctival injection
Question 13: systemic symptoms of allergic rhinitis
Answer: cognitive impairment fatigue irritability malaise
Question 14: treatment goals of allergic rhinitis
Answer: reduce symptoms improve patient's functional status and well-being
Question 15: 3 steps for treatment
Answer: allergen avoidance pharmacotherapy immunotherapy
Question 16: What drugs should be used first for allergic rhinitis?
Answer: target, single-entity nonprescription medications later add drug with different MOA
Question 17: exclusions for self-treatment of allergic rhinitis
Answer: <12 yrs old pregnant/lactating non-allergic symptoms - nasal obstruction, thick mucus otitis media,
sinusitis, bronchitis symptoms asthma, COPD symptoms severe side effects of treatment
Question 18: nonpharmacologic therapy
Answer: lower house humidity to <40% encase mattress and pillows use HEPA filters bathe pets more often
pest control AQI awareness pollen count awareness
Question 19: 4 types of pharmacologic therapy
Answer: intranasal corticosteroids antihistamines decongestants (short term) mast cell stabilizer
Question 20: first-line treatment of allergic rhinitis
Answer: intranasal corticosteroids
Question 21: 4 intranasal corticosteroids
Answer: triamcinolone acetonide fluticasone propionate budesonide fluticasone furoate
Page 2
(Grade A+)
Question 1: allergic rhinitis
Answer: systemic disease with prominent nasal symptoms usually begins after 2 yrs prevalence is higher in
southern US
Question 2: risk factors for allergic rhinitis
Answer: family history elevated IgE before age 6 higher socioeconomic class eczema positive reaction to
skin tests
Question 3: aeroallergens
Answer: airborne environmental allergens that trigger allergic rhinitis
Question 4: outdoor triggers of allergic rhinitis
Answer: pollen and mold spores pollutants
Question 5: indoor triggers of allergic rhinitis
Answer: cigarette smoke dust mites pet dander cockroaches
Question 6: occupational triggers of allergic rhinitis
Answer: wool dust latex resins organic dusts chemicals
Question 7: 4 phases of allergic rhinitis
Answer: sensitization phase early phase cellular recruitment late phase
Question 8: 2 types of allergic rhinitis (old)
Answer: seasonal allergic rhinitis (hay fever) perennial allergic rhinitis
Question 9: 2 types of allergic rhinitis (current)
Answer: intermittent allergic rhinitis (IAR) persistent allergic rhinitis (PAR)
Question 10: intermittent allergic rhinitis
Answer: symptoms up to 4 days per week or up to 4 weeks
Page 1
, Question 11: persistent allergic rhinitis
Answer: symptoms >4 days per week and >4 weeks
Question 12: nasal symptoms of allergic rhinitis
Answer: itchy eyes, nose, palate repetitive sneezing profuse watery rhinorrhea postnasal drip nasal
congestion red, irritated eyes with conjunctival injection
Question 13: systemic symptoms of allergic rhinitis
Answer: cognitive impairment fatigue irritability malaise
Question 14: treatment goals of allergic rhinitis
Answer: reduce symptoms improve patient's functional status and well-being
Question 15: 3 steps for treatment
Answer: allergen avoidance pharmacotherapy immunotherapy
Question 16: What drugs should be used first for allergic rhinitis?
Answer: target, single-entity nonprescription medications later add drug with different MOA
Question 17: exclusions for self-treatment of allergic rhinitis
Answer: <12 yrs old pregnant/lactating non-allergic symptoms - nasal obstruction, thick mucus otitis media,
sinusitis, bronchitis symptoms asthma, COPD symptoms severe side effects of treatment
Question 18: nonpharmacologic therapy
Answer: lower house humidity to <40% encase mattress and pillows use HEPA filters bathe pets more often
pest control AQI awareness pollen count awareness
Question 19: 4 types of pharmacologic therapy
Answer: intranasal corticosteroids antihistamines decongestants (short term) mast cell stabilizer
Question 20: first-line treatment of allergic rhinitis
Answer: intranasal corticosteroids
Question 21: 4 intranasal corticosteroids
Answer: triamcinolone acetonide fluticasone propionate budesonide fluticasone furoate
Page 2
