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Logo of emermedjEmergency Medical JournalVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
Emerg Med J. 2007 October; 24(10): 690.
PMCID: PMC2658431

Coordinator: Gavin Lloyd

See page 742 for answers

Question 1

Theme: Anaphylaxis

Which of the following statements regarding anaphylaxis is/are false?

  1. A combination of H1 and H2 antagonists is more effective in attenuating the cutaneous manifestation of anaphylaxis than H1 antagonists alone
  2. Corticosteroids are useful in the acute stage
  3. Glucagon often causes vomiting
  4. Observation for 4–6 hours is sufficient in most patients

Question 2

Theme: Resuscitation room investigations

Which of the following resuscitation room investigations have a sensitivity of more than 85%?

  1. Computed tomography pulmonary angiography (CTPA)
  2. Erect chest x ray for pneumoperitoneum (ie gas under the diaphragm)
  3. D‐dimer assay for pulmonary embolism
  4. B‐natriuretic peptide assay for heart failure

Question 3

Theme: Adenosine treatment

Which one of the following statements regarding adenosine is false?

  1. It is effective in patients with a heart transplant
  2. It is contraindicated in patients with Wolff–Parkinson–White syndrome complicated by atrial fibrillation
  3. It should be used with caution in the third trimester of pregnancy
  4. Doses of 36 mg may be in used in resistant supraventricular tachycardias

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