Here are some scenario-based multiple-choice questions about the Treatment of Angioedema
A patient presents to the emergency department with acute angioedema of the face, lips, and tongue. Which of the following treatments is the most appropriate initial therapy for this patient?
a. Antihistamines
b. Corticosteroids
c. Epinephrine
d. Acetaminophen
Answer: c. Epinephrine
A patient with a history of hereditary angioedema (HAE) presents with an acute attack of abdominal pain and swelling. Which of the following treatments is the most appropriate for this patient?
a. Antihistamines
b. Corticosteroids
c. Epinephrine
d. C1 inhibitor concentrate
Answer: d. C1 inhibitor concentrate
A patient presents to the clinic with recurrent episodes of angioedema. Which of the following laboratory tests should be ordered to evaluate for possible underlying causes?
a. Serum tryptase level
b. Erythrocyte sedimentation rate (ESR)
c. Complete blood count (CBC)
d. Urinalysis
Answer: a. Serum tryptase level
A patient presents to the emergency department with acute angioedema after being stung by a bee. The patient has no history of allergic reactions. Which of the following treatments is the most appropriate initial therapy for this patient?
a. Antihistamines
b. Corticosteroids
c. Epinephrine
d. Observation
Answer: a. Antihistamines
A patient presents to the clinic with recurrent episodes of angioedema and a family history of similar symptoms. Which of the following is the most likely diagnosis?
a. Allergic angioedema
b. Hereditary angioedema (HAE)
c. Idiopathic angioedema
d. Drug-induced angioedema
Answer: b. Hereditary angioedema (HAE)
A patient presents to the emergency department with acute angioedema of the throat and difficulty breathing. Which of the following is the most appropriate initial treatment for this patient?
a. Antihistamines
b. Corticosteroids
c. Epinephrine
d. Oxygen therapy
Answer: c. Epinephrine
A patient presents to the clinic with recurrent episodes of angioedema and a history of taking an ACE inhibitor. Which of the following treatments is the most appropriate for this patient?
a. Discontinuation of the ACE inhibitor
b. Antihistamines
c. Corticosteroids
d. Epinephrine
Answer: a. Discontinuation of the ACE inhibitor
A patient with a history of hereditary angioedema (HAE) presents with an acute attack of facial swelling. The patient is already receiving prophylactic therapy with a C1 inhibitor concentrate. Which of the following additional therapies may be used to treat acute attacks in this patient?
a. Antihistamines
b. Corticosteroids
c. Fresh frozen plasma
d. Acetaminophen
Answer: c. Fresh frozen plasma
A patient presents to the emergency department with acute angioedema after eating shellfish. The patient has a history of allergic reactions to shellfish. Which of the following treatments is the most appropriate initial therapy for this patient?
a. Antihistamines
b. Corticosteroids
c. Epinephrine
d. Observation
Answer: c. Epinephrine
A patient presents to the clinic with recurrent episodes of angioedema and a history of autoimmune disease. Which of the following laboratory tests should be ordered to evaluate for possible underlying causes?
a. Serum tryptase level
b. Erythrocyte sedimentation rate (ESR)
c. Antinuclear antibody (ANA) test
d. Urinalysis
Answer: c. Antinuclear antibody (ANA) test
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