Pediatric emergencies: anaphylaxis: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Pediatric emergencies: anaphylaxis

Sample item

A child develops wheeze, facial swelling, widespread urticaria, and hypotension after eating peanuts. What is the first-line medication?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Intramuscular adrenaline

Anaphylaxis is a life-threatening airway, breathing, or circulation reaction. Intramuscular adrenaline is first-line, while emergency help is activated and airway, breathing, and circulation are supported.

Option by option

  • A. Nebulized saline

    Saline nebulization does not treat systemic anaphylactic shock.

  • B. Oral antihistamine alone

    Antihistamines are adjunctive and do not replace adrenaline in anaphylaxis.

  • C. Intravenous insulin

    Insulin has no role in allergic anaphylaxis.

  • D. Intramuscular adrenaline (correct)

    Correct. IM adrenaline treats bronchospasm, edema, and vasodilation rapidly.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is D, Intramuscular adrenaline. Anaphylaxis is a life-threatening airway, breathing, or circulation reaction.

Why is "Nebulized saline" not the answer?

Saline nebulization does not treat systemic anaphylactic shock.

Why is "Oral antihistamine alone" not the answer?

Antihistamines are adjunctive and do not replace adrenaline in anaphylaxis.

Why is "Intravenous insulin" not the answer?

Insulin has no role in allergic anaphylaxis.

What concept does this question test?

It tests Pediatric emergencies: anaphylaxis in Pediatrics. Intramuscular adrenaline is first-line, while emergency help is activated and airway, breathing, and circulation are supported.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Pediatric emergencies: anaphylaxis?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.