Intramuscular Epinephrine in Pediatrics — 3yo Child | Allergy & Immunology | SMLE Q#9013

SMLE Question #9013

Pediatrics Allergy & Immunology

Objective: OBJ-PED-ALLERGY-ANAPHYLAXIS-VACCINE

Last updated: February 2026
A 3-year-old boy develops sudden dyspnea, lip swelling, and a rapidly spreading pruritic erythematous rash shortly after eating at a birthday party. Examination shows generalized urticaria, perioral edema, and bilateral wheezing. He is treated with intramuscular epinephrine and airway support with clinical improvement. The mother is unsure what he was given at the party. To reduce recurrence risk, the clinician wants to identify the most likely precipitating exposure. Which aspect of the history is most likely to identify the trigger?

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