Medical Emergencies · single question

An asthmatic patient with a rubber dam in place develops wheezing and lip swelling (signs of anaphylaxis). What is the first-line drug?

  1. Intramuscular epinephrine
  2. Oral diphenhydramine alone
  3. Inhaled albuterol alone
  4. Oral prednisone alone
Show answer and explanation

Correct answer: A. Intramuscular epinephrine

  • A. Correct. Epinephrine is the first-line, life-saving treatment for anaphylaxis; activate EMS (call 911) as well.
  • B. Incorrect. Antihistamines are adjuncts that treat itching/urticaria; they are not first-line and act too slowly for airway compromise.
  • C. Incorrect. Albuterol helps bronchospasm but does not address the systemic anaphylaxis or angioedema.
  • D. Incorrect. Corticosteroids have a delayed onset and are adjunctive, not the immediate treatment.

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