Medical Emergencies · single question

What is usually the FIRST sign of a Type I hypersensitivity (anaphylactic) reaction?

  1. Hives (urticaria)
  2. Bronchospasm
  3. Hypotension
  4. Tachycardia
Show answer and explanation

Correct answer: A. Hives (urticaria)

  • A. Correct. Cutaneous signs — urticaria, flushing, pruritus — are typically the earliest manifestations of Type I hypersensitivity.
  • B. Bronchospasm is a later, more dangerous airway sign.
  • C. Hypotension reflects progression to anaphylactic shock, occurring after early skin signs.
  • D. Tachycardia accompanies the cardiovascular response but is not the first recognizable sign.

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