Medical Emergencies · single question

A patient allergic to bananas and avocados develops anaphylaxis. What is FIRST-LINE treatment?

  1. Epinephrine 1:1000 IM
  2. Diphenhydramine (Benadryl) IV
  3. Oxygen only
  4. Corticosteroids IV
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Correct answer: A. Epinephrine 1:1000 IM

Epinephrine 1:1000 IM is the only life-saving first-line treatment for anaphylaxis, reversing bronchospasm and preventing cardiovascular collapse.
  • A. ✅ CORRECT – Epinephrine 1:1000 IM is first-line for anaphylaxis.
  • B. ❌ Diphenhydramine is adjunct therapy; it cannot treat bronchospasm or hypotension of anaphylaxis.
  • C. ❌ Oxygen is supportive; epinephrine must come first.
  • D. ❌ Corticosteroids are slow-acting adjuncts given after epinephrine.

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