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Chapter 30 – Minor Ailment Respiratory (QE) Sample Questions

1. MC who is a regular customer approaches your pharmacy counter obviously looking sick. You suspect that these presenting symptoms are consistent with allergic rhinitis. To exclude other illnesses, what is the appropriate question?

A. Any runny nose?
B. Any itchy throat?
C. Any fever?
D. Any cough?

Answer

Ans: C

Tips: The diagnosis of allergic rhinitis is typically made when 2 or more of the following symptoms are present in a patient such as runny nose, sneezing, nasal obstruction (stuffy nose), nasal pruritus, and in some cases conjunctivitis or red eye. Symptoms NOT associated with allergic rhinitis includes mucopurulent rhinorrhea, stuffy nose without other symptoms, unilateral symptoms, post nasal drip (posterior and anterior rhinorrhea) with thick mucus, recurrent nose bleed (epistaxis) and pain. Allergic rhinitis can be classified as mild, moderate to severe
Moderate to severe symptoms includes insomnia, or sleep disturbances, missing school, or work, leisure, sports due to symptoms. Allergic rhinitis can resemble the common cold but does not have infection etiology. Allergic rhinitis is characterized by sneezing and rhinorrhea which may progress to nasal congestion. Eye symptoms such as conjunctivitis and lacrimation may also be present. Cough is present in most upper respiratory tract infections, such as the common cold and influenza but may be caused by other conditions. Cough persisting longer than 3 weeks should be assessed by physician. Allergic rhinitis (NO cough).

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