Question

A 32-year-old man presents to the emergency department with a generalised urticarial rash, throat tightness, wheeze, and hypotension shortly after eating peanuts. What is the most appropriate first-line treatment?

Accepted Answer

Intramuscular adrenaline into the lateral thigh

Answer

Intravenous chlorpheniramine

Answer

High-dose oral cetirizine

Answer

Nebulised salbutamol alone

Answer

Intravenous hydrocortisone as sole initial therapy

Practice question

A 32-year-old man presents to the emergency department with a generalised urticarial rash, throat tightness, wheeze, and hypotension shortly after eating peanuts. What is the most appropriate first-line treatment?