Pharmacology · single question

Same case. What is the management for the rash (urticaria)?

  1. Systemic antihistamines
  2. Topical steroids
  3. IV corticosteroids
  4. Epinephrine injection
Show answer and explanation

Correct answer: A. Systemic antihistamines

  • A. Correct. For mild allergic rash without anaphylaxis (no airway compromise, no BP collapse), systemic antihistamines (diphenhydramine) are the first-line management.
  • B. Incorrect. Epinephrine is reserved for anaphylaxis with airway compromise or cardiovascular collapse — not isolated mild rash.
  • C. Incorrect. Topical steroids manage localized contact dermatitis, not systemic allergic rash.
  • D. Incorrect. IV corticosteroids are for severe anaphylaxis or status asthmaticus, not mild urticaria.

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