70-year-old male with a history of hypertension, dyslipidemia and BPH presents with craniofacial pain, sinus pressure, purulent rhinorrhea

    April 21, 2024

70-year-old male with a history of hypertension, dyslipidemia and BPH presents with craniofacial pain, sinus pressure, purulent rhinorrhea and fever for the past 12 days. He has no allergies to food or medicine. You diagnose him with acute bacterial rhinosinusitis and prescribe amoxicillin-clavulanate 875-125 mg po bid x 10 days. In addition to antibiotics, which of the following adjuvant medications would be most appropriate for this patient? Question 3Select one: a. Pseudoephedrine 60 mg po q6h prn b. Fluticasone propionate 50 mcg per spray, 2 sprays each nostril qd c. Diphenhydramine 25 mg po q6h prn d. Phenylephrine 10 mg q4h prn e. Oxymetolazine 2 sprays each nostril q12h x 7 days

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