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Anaesthesia · Perioperative complications
Sample itemWhat is the first response to suspected intraoperative anaphylaxis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Stop suspected trigger and resuscitate with adrenaline
Suspected perioperative anaphylaxis requires immediate cessation of likely triggers, airway and circulation support, adrenaline, fluids, and specialist follow-up.
Option by option
A. Stop suspected trigger and resuscitate with adrenaline (correct)
Correct: trigger cessation and resuscitation are urgent.
B. Wait for skin testing before treatment
Testing follows stabilization.
C. Continue infusion at lower dose
Dose reduction is unsafe in anaphylaxis.
D. Give oral antihistamine only
Antihistamine alone is inadequate.
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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