Paeds Vivas · allergy-and-immunology
Allergic rhinitis and rhinoconjunctivitis — viva
Branching clinical structured oral on the assessment, ARIA classification and stepwise management of a school-aged child with seasonal allergic rhinoconjunctivitis.
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Study tools
Target exams
RACP DCEMRCPCH Clinical
Prompt
A 9-year-old girl is brought by her mother with three months of morning sneezing, a constantly blocked nose, mouth breathing at night and worsening school performance. She has eczema and her father has asthma. You are asked to assess and manage her in the general paediatric clinic.
Opening (2 minutes)
The candidate should recognise the classic clinical picture of allergic rhinitis in an atopic school-aged child and classify it using the ARIA framework while committing to exclude alternative diagnoses. The symptoms of morning sneezing, persistent congestion, mouth breathing and impaired school performance in a child with a personal history of eczema and a family history of asthma make allergic rhinitis the leading diagnosis. [1]
References3ShowHide
- [1]Sousa-Pinto B, Bousquet J, Vieira RJ Allergic Rhinitis and Its Impact on Asthma (ARIA)-EAACI Guidelines-2024-2025 Revision: Part I-Guidelines. Allergy, 2026.PMID 41324154
- [5]Li Y, Xiong J, Zhang Z Efficacy and safety of various corticosteroids in the treatment of children with allergic rhinitis. J Evid Based Med, 2024.PMID 39313999
- [12]Seidman MD, Gurgel RK, Lin SY Clinical practice guideline: Allergic rhinitis. Otolaryngol Head Neck Surg, 2015.PMID 25644617