skip to main content

Nebulised bronchodilator — DipIMC MCQ

Instant feedback + full explanation. One question, done properly.

HardPre-Hospital PharmacologyNebulised bronchodilatorDipIMC

A 5-year-old develops wheeze, facial swelling, widespread urticaria and hypotension after a wasp sting. What is the most appropriate immediate drug treatment?

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

Reveal the answer and explanation

Correct answer: C — Give intramuscular adrenaline 150 micrograms into the anterolateral thigh

The best answer is “Give intramuscular adrenaline 150 micrograms into the anterolateral thigh”. This child has anaphylaxis with airway, breathing and circulatory compromise. Resuscitation Council UK age-based guidance uses 150 micrograms IM adrenaline for children aged 6 months to 6 years, given into the anterolateral thigh. Salbutamol is an adjunct for wheeze; hydrocortisone must not delay adrenaline, and an IV 1 mg bolus is a cardiac-arrest dose.

Reference: Resuscitation Council UK, Emergency treatment of anaphylaxis: https://www.resus.org.uk/library/additional-guidance/guidance-anaphylaxis/emergency-treatment-anaphylactic-reactions