Peanut Allergy Dental Precautions — MFDS Part 1 MCQ

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EasyHuman DiseasePeanut Allergy Dental PrecautionsMFDS Part 1

A patient with a documented history of peanut-induced anaphylaxis attends for routine dental treatment. They are currently well. Which is the most appropriate precaution before treatment?

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Correct answer: D — Confirm the allergy history and immediate access to intramuscular adrenaline

The correct answer is D. The dental team should confirm the nature and severity of the allergy, identify relevant triggers and ensure immediate access to an emergency drugs kit containing intramuscular adrenaline. The team must also be trained to recognise and manage anaphylaxis. A patient may bring prescribed adrenaline auto-injectors, but these do not replace the practice emergency supply. Peanut allergy does not contraindicate routine local anaesthesia, and antibiotics do not prevent anaphylaxis. Neither permanent deferral nor general anaesthesia is required solely because of a food allergy; general anaesthesia introduces additional risk. The original latex statement was removed because peanut allergy alone does not establish latex allergy or justify routine latex avoidance without a relevant history.

Reference: Scottish Dental Clinical Effectiveness Programme, Practice Support Manual: Medical emergency drugs, current webpage accessed 26 August 2026. https://www.psm.sdcep.org.uk/topics/medical-emergencies-and-life-support/medical-emergency-drugs/