A 66-year-old man presents with suspected anaphylaxis after a bee sting: hypotension, diffuse urticaria, and wheeze. What is the first-line treatment ...

Question

A 66-year-old man presents with suspected anaphylaxis after a bee sting: hypotension, diffuse urticaria, and wheeze. What is the first-line treatment and dose?

Accepted Answer

IM epinephrine 0.3-0.5 mg of 1:1,000 in the anterolateral thigh, repeat every 5-15 minutes as needed

Answer

IV epinephrine 1 mg bolus

Answer

Oral diphenhydramine 50 mg then observe

Answer

IV methylprednisolone 125 mg first

Answer

Nebulized albuterol only

us-usmle-step-2 MCQ (SBA): Anaphylaxis

A 66-year-old man presents with suspected anaphylaxis after a bee sting: hypotension, diffuse urticaria, and wheeze. What is the first-line treatment and dose?