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Anaphylaxis — USMLE Step 3 MCQ

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EasyEmergency MedicineAnaphylaxisUSMLE Step 3

A 19-year-old woman develops diffuse urticaria, wheezing, throat tightness, and lightheadedness 10 minutes after eating peanuts. Blood pressure is 86/50 mm Hg and oxygen saturation is 92%. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: CGive intramuscular epinephrine

Anaphylaxis with airway symptoms and hypotension requires immediate intramuscular epinephrine.

Reference: AAAAI/ACAAI Anaphylaxis Practice Parameter