Pharmacology · single question

Same case (anaphylaxis with hives and wheezing). After epinephrine, how do you specifically treat the hives?

  1. Another dose of epinephrine
  2. Topical steroids
  3. Oral antihistamines only
  4. IV corticosteroids
Show answer and explanation

Correct answer: A. Another dose of epinephrine

  • A. Correct. After epinephrine for anaphylaxis, the hives/urticaria are specifically treated with topical steroids to reduce local skin inflammation and histamine-mediated vasodilation.
  • B. Incorrect. A second epinephrine dose addresses systemic anaphylaxis, not the local hive lesions.
  • C. Incorrect. Oral antihistamines help prevent further histamine release but are secondary for hive treatment.
  • D. Incorrect. IV corticosteroids address severe systemic anaphylaxis, not specifically local hive lesions.

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