skip to main content

Upper airway angioedema from ACE inhibitor — RCPSC EM MCQ

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

ModerateRespiratory emergenciesUpper airway angioedema from ACE inhibitorRCPSC EM

CTAS 1. A 61-year-old on ramipril has progressive tongue swelling and muffled voice. No urticaria is present. Flexible nasolaryngoscopy shows supraglottic oedema. SpO2 is 96%, BP 150/84, and symptoms are worsening despite antihistamines. What is the most appropriate disposition?

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

Reveal the answer and explanation

Correct answer: B — ICU or monitored airway-capable setting

ACE inhibitor angioedema involving tongue and supraglottic structures can progress rapidly and warrants monitored care with airway expertise available.

Reference: Canadian Airway Focus Group recommendations; Tintinalli's Emergency Medicine