skip to main content

Paediatric anaphylaxis age 4 — DipIMC MCQ

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

HardPaediatric and Obstetric EmergenciesPaediatric anaphylaxis age 4DipIMC

A 4-year-old develops stridor, wheeze, widespread urticaria and a weak pulse after eating nuts. Which initial adrenaline dose and route match the Resuscitation Council UK age-based approach?

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

Reveal the answer and explanation

Correct answer: B — Give adrenaline 150 micrograms by IM injection

The best answer is “Give adrenaline 150 micrograms by IM injection”. The child has anaphylaxis with airway, breathing and circulatory compromise. Resuscitation Council UK age-based dosing gives 150 micrograms IM into the anterolateral thigh for children from six months to six years, repeated after five minutes if needed. Higher IM doses belong to older age bands, while IV bolus adrenaline is unsafe in a perfusing child outside specialist circumstances.

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