Urgent Care Urgent Care for Allergic Reactions and Anaphylaxis 3

Question 1

Which of the following is NOT a commonly recognized trigger of anaphylaxis?

Accepted Answer

Vitamin C supplements

Answer

Aspirin and NSAIDs

Answer

Radiocontrast media

Answer

Insect venom

Question 2

What discharge instructions must a patient who experienced anaphylaxis receive from urgent care?

Accepted Answer

Prescription for an epinephrine auto-injector and referral to an allergist

Answer

No special instructions are needed if symptoms fully resolved

Answer

An antibiotic prescription to prevent secondary infection

Answer

Instructions to avoid all foods for 48 hours

Question 3

Why is beta-blocker use an important consideration when treating anaphylaxis?

Accepted Answer

Patients on beta-blockers may have more severe anaphylaxis and be resistant to epinephrine

Answer

Beta-blockers have no effect on anaphylaxis or its treatment

Answer

Beta-blockers should be administered to all anaphylaxis patients to prevent cardiac arrhythmias

Answer

Beta-blockers reliably prevent biphasic anaphylactic reactions

Question 4

A patient with anaphylaxis develops hypotension. In addition to epinephrine, what body position is most appropriate?

Accepted Answer

Supine with legs elevated

Answer

Sitting upright at 90 degrees

Answer

Prone position

Answer

Left lateral decubitus (recovery position)

Question 5

What is the primary role of corticosteroids in anaphylaxis management?

Accepted Answer

Adjunctive treatment that may reduce the risk and severity of biphasic reactions

Answer

First-line treatment that can replace epinephrine in mild cases

Answer

Corticosteroids are contraindicated in anaphylaxis

Answer

Corticosteroids eliminate the need for an observation period after treatment

Question 6

A child weighing 25 kg presents with anaphylaxis. What is the correct IM epinephrine dose?

Accepted Answer

0.01 mg/kg, giving approximately 0.25 mg (maximum 0.5 mg)

Answer

0.3 mg regardless of the child's weight

Answer

0.5 mg for all pediatric patients

Answer

0.001 mg/kg, giving approximately 0.025 mg

Question 7

Which patient profile carries the highest risk for a fatal anaphylactic reaction?

Accepted Answer

A 55-year-old with asthma and a known bee venom allergy who carries no epinephrine auto-injector

Answer

A 25-year-old with a mild peanut allergy and no comorbidities

Answer

A 40-year-old with seasonal allergic rhinitis and no known food allergies

Answer

A 30-year-old with mild latex sensitivity and no respiratory conditions