Afghanistan Dental Exit Exam Practice Questions - Afghanistan Dental Exit Exam (AMC Government Exit Exam - Stomatology) Exam

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A 42-year-old female experiences acute onset of lightheadedness, generalized urticaria, bilateral wheezing, severe dyspnea, and hypotension (blood pressure 75/40 mmHg) 5 minutes after local infiltration of 2% lidocaine with 1:100,000 epinephrine. What is the immediate first-line medication and route of administration?

Intramuscular epinephrine (1:1,000) 0.3–0.5 mg into the anterolateral mid-thigh Intravenous diphenhydramine 50 mg administered over 2 minutes Intravenous hydrocortisone 200 mg push Sublingual nitroglycerin spray 0.4 mg every 5 minutes

Correct Answer:

Intramuscular epinephrine (1:1,000) 0.3–0.5 mg into the anterolateral mid-thigh

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