USMLE step 2 Mcq 182:A 20 year old man has mild but persistent year-round symptoms of nasal congestion, rhinorrhea,and watery eyes

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Question:
A 20 year old man has mild but persistent year-round symptoms of nasal congestion, rhinorrhea,and watery eyes. A skin test show positive reaction to house dust, Alternaria, and grass and ragweed pollens. The most appropriate treatment in this patient would include

a) Antigen avoidance
b) immunotherapy against the antigen
c) Antihistamine-decongestant preparation
d) Topical adrenergic agonist
e) oral adrenergic agonist


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