A 22-year-old woman develops urticaria, wheezing, throat tightness, and hypotension 10 minutes after eating peanuts. Oxygen saturation is 90% on room

Question

A 22-year-old woman develops urticaria, wheezing, throat tightness, and hypotension 10 minutes after eating peanuts. Oxygen saturation is 90% on room air. She has no prior asthma history. Which of the following is the most appropriate next step in management?

Accepted Answer

Administer intramuscular epinephrine

Answer

Wait for serum tryptase before treatment

Answer

Administer inhaled albuterol as definitive therapy

Answer

Give oral diphenhydramine as sole therapy

Answer

Give subcutaneous insulin

Anaphylaxis — USMLE Step 3 MCQ

A 22-year-old woman develops urticaria, wheezing, throat tightness, and hypotension 10 minutes after eating peanuts. Oxygen saturation is 90% on room air. She has no prior asthma history. Which of the following is the most appropriate next step in management?