Intravenous agents: propofol in egg allergy: practice question

A Anaesthesia 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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Anaesthesia · Intravenous agents: propofol in egg allergy

Sample item

A patient with egg allergy needs general anaesthesia. What is the position on propofol?

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

The answer and the reasoning

A. It can be used, as allergy to egg yolk lecithin is not a contraindication

Egg allergy is to egg white proteins, whereas propofol contains purified egg yolk lecithin. Current evidence shows that propofol is safe in egg-allergic patients.

Option by option

  • A. It can be used, as allergy to egg yolk lecithin is not a contraindication (correct)

    Correct. Propofol is generally safe in egg allergy.

  • B. It is absolutely contraindicated

    Absolute contraindication is not supported by evidence.

  • C. It should be given with adrenaline

    Routine adrenaline is not required.

  • D. Only soyabean-free propofol is safe

    Soyabean oil is not the issue in egg allergy.

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 Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is A, It can be used, as allergy to egg yolk lecithin is not a contraindication. Egg allergy is to egg white proteins, whereas propofol contains purified egg yolk lecithin.

Why is "It is absolutely contraindicated" not the answer?

Absolute contraindication is not supported by evidence.

Why is "It should be given with adrenaline" not the answer?

Routine adrenaline is not required.

Why is "Only soyabean-free propofol is safe" not the answer?

Soyabean oil is not the issue in egg allergy.

What concept does this question test?

It tests Intravenous agents: propofol in egg allergy in Anaesthesia. Current evidence shows that propofol is safe in egg-allergic patients.

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 Intravenous agents: propofol in egg allergy?

Make a table of each agent, its key advantage and its main side effect. Then use the flashcards and the other Anaesthesia 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.