Chapter 59 – URTI (QE) Sample Questions
1. KT is a 30-year-old otherwise healthy male who started using loratadine 10 mg daily two weeks ago for symptoms of allergic rhinitis (sneezing, itchy nose, watery eyes), He is now reports having a purulent (yellow/green) nasal discharge and nasal congestion, but his temperature is normal. He asks whether this is just a flare of his allergies or something more serious. Which of the following is the most appropriate action for the pharmacist or pharmacy technician to recommend?
- A. Recommend him to switch to fluticasone intranasal spray for 2 months
- B. Recommend over-the-counter or pseudoephedrine to manage nasal congestion
- C. Refer the patient for further medical assessment because purulent discharge and congestion may indicate rhinosinusitis
- D. Tell him wait and watch self-monitoring at home and see the healthcare provided if fever or facial pain develops
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