Rosh Pediatrics Practice Exam

What is a common misinterpretation related to the presentation of allergic rhinitis in children?

1. It is always accompanied by a fever

2. It can be mistaken for a cold

3. It only occurs during spring time

4. It often interferes significantly with sleep

The correct answer is: It can be mistaken for a cold

A common misinterpretation related to allergic rhinitis in children is that it can be mistaken for a cold. While both conditions may present with similar symptoms such as a runny nose, sneezing, and nasal congestion, they arise from different causes. Allergic rhinitis is triggered by allergens like pollen, mold, dust mites, or pet dander, and is not caused by viral infections like the common cold. Children with allergic rhinitis generally do not have symptoms such as fever, which can help differentiate it from a cold. Additionally, allergic rhinitis can occur throughout the year, depending on exposure to allergens, not just during specific seasons like spring. It is also important to note that allergic rhinitis can significantly impact sleep quality due to congestion and other discomforts, making it a serious concern for overall health and well-being. The ability to distinguish allergic rhinitis from a cold is crucial for appropriate management and treatment. Understanding this misinterpretation helps in guiding caregivers to seek the correct interventions, such as antihistamines, rather than unnecessary treatments for a common cold.