<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 17-year-old boy presents to the office with allergic rhinitis. He reports symptoms of sneezing, nasal congestion, itching, and postnasal drainage every September at the start of the school year. He has a family history of childhood asthma and eczema. He has not tried any medications for his allergies. Which of the following medications is the most appropriate next step to manage the patients symptoms?? A: Intranasal antihistamines, B: Intranasal cromolyn sodium, C: Intranasal decongestants, D: Intranasal corticosteroids, E: Oral antihistamines,  <response>: This is a patient with seasonal allergic rhinitis that occurs every September when he returns to school. He has a family history of atopy. He has not tried any medications yet. The most appropriate next step would be an intranasal corticosteroid spray. Intranasal corticosteroids are the most effective treatment for allergic rhinitis. They work by reducing inflammation. Intranasal antihistamines and decongestants can provide some symptom relief but are not as effective as intranasal corticosteroids for long-term control. Cromolyn sodium is a mast cell stabilizer that can help prevent symptoms but is not as effective for treating established symptoms. Oral antihistamines may help with sneezing and itching but do not treat nasal congestion as effectively.D: Intranasal corticosteroids 