Complications: anaphylaxis management: 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 · Complications: anaphylaxis management

Sample item

A patient develops hypotension, bronchospasm and urticaria after induction. What is the first drug of choice?

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

The answer and the reasoning

C. Adrenaline intravenous 50 micrograms bolus, repeated and titrated

Adrenaline is lifesaving as it reverses vasodilation and bronchospasm and stabilises mast cells. Intravenous titrated boluses of 50 micrograms are used in the monitored anaesthetised patient, while 0.5 mg intramuscular is for the community.

Option by option

  • A. Chlorpheniramine only

    Antihistamines are adjuncts.

  • B. Salbutamol only

    Salbutamol will not reverse hypotension.

  • C. Adrenaline intravenous 50 micrograms bolus, repeated and titrated (correct)

    Correct. Titrated adrenaline is first-line.

  • D. Hydrocortisone only

    Steroids are adjuncts with slow onset.

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 C, Adrenaline intravenous 50 micrograms bolus, repeated and titrated. Adrenaline is lifesaving as it reverses vasodilation and bronchospasm and stabilises mast cells.

Why is "Chlorpheniramine only" not the answer?

Antihistamines are adjuncts.

Why is "Salbutamol only" not the answer?

Salbutamol will not reverse hypotension.

Why is "Hydrocortisone only" not the answer?

Steroids are adjuncts with slow onset.

What concept does this question test?

It tests Complications: anaphylaxis management in Anaesthesia. Intravenous titrated boluses of 50 micrograms are used in the monitored anaesthetised patient, while 0.5 mg intramuscular is for the community.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. 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 Complications: anaphylaxis management?

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.