Allergic Rhinitis

Front

Why are first-generation antihistamines considered potentially inappropriate in older adults?

Back

CNS depression and anticholinergic side Effects

Front

Tachyphylaxis associated with first-generation antihistamines is best described as:

Back

Diminished response due to receptor downregulation

Front

Which counseling point is most important when recommending fexofenadine? Options: Take with high-fat meals, Avoid concurrent NSAIDs, Dose at bedtime, Separate administration from fruit juice by at least 2 hours

Back

Separate administration from fruit juice by at least 2 hours

Front

Which statement best describes intranasal antihistamines compared to oral antihistamines? Options: Less effective but better tolerated, Slower onset of action, Equal or superior efficacy with faster symptom relief, Reserved only for persistent disease

Back

Equal or superior efficacy with faster symptom relief

Front

Which statement regarding oral decongestants is most accurate? Options: Cause rebound congestion after 3 days, Pose cardiovascular risk due to sympathomimetic effects, Preferred first-line for persistent allergic rhinitis, Will not clinically increase blood pressure at 240mg/day

Back

Pose cardiovascular risk due to sympathomimetic effects

Front

A 72-year-old man with allergic rhinitis requests an OTC product. His symptoms include congestion and rhinorrhea. His medication profile includes tamsulosin and donepezil. Which therapy should be avoided? Options: Intranasal fluticasone, Fexofenadine, Chlorpheniramine, Intranasal azelastine

Back

Chlorpheniramine

Front

A 58-year-old woman with uncontrolled hypertension (BP 162/96 mmHg) and history of myocardial infarction complains of nasal congestion due to allergic rhinitis. She asks for “something strong for congestion.” Which option is most appropriate? Options: Oral pseudoephedrine, Oxymetazoline nasal spray for 7 days, Oral phenylephrine, Intranasal corticosteroid

Back

Intranasal corticosteroid