USMLE Forum Archives - USMLE Step 2 CK - bee sting
bee sting
bingousmle - 05-20-10 07:34
A 5-year-old white male is brought to your office for treatment 24 hours after being stung on the right hand by a bee. He has marked swelling of the right hand and forearm, redness, itching, and mild pain at the sting site. His mother says that the swelling began about 2 hours after the sting and is continuing to worsen. She is quite concerned and requests a referral to an allergist to have the child evaluated.
Which one of the following would be appropriate advice?
a. The child is unlikely to have anaphylaxis with subsequent stings, and he should be treated with
antihistamines and antibiotics now
b. The child is unlikely to have anaphylaxis with subsequent stings, and he should be treated with
antihistamines only now
c. The child's parents should carry an anaphylaxis emergency treatment kit with them at all times
to treat future reactions
d. The child is at risk for anaphylaxis from subsequent insect stings, and immunotherapy may be
appropriate
e. This type of reaction is not likely to occur with subsequent insect stings
bingousmle - 05-20-10 07:34
A 5-year-old white male is brought to your office for treatment 24 hours after being stung on the right hand by a bee. He has marked swelling of the right hand and forearm, redness, itching, and mild pain at the sting site. His mother says that the swelling began about 2 hours after the sting and is continuing to worsen. She is quite concerned and requests a referral to an allergist to have the child evaluated.
Which one of the following would be appropriate advice?
a. The child is unlikely to have anaphylaxis with subsequent stings, and he should be treated with
antihistamines and antibiotics now
b. The child is unlikely to have anaphylaxis with subsequent stings, and he should be treated with
antihistamines only now
c. The child's parents should carry an anaphylaxis emergency treatment kit with them at all times
to treat future reactions
d. The child is at risk for anaphylaxis from subsequent insect stings, and immunotherapy may be
appropriate
e. This type of reaction is not likely to occur with subsequent insect stings
The correct answer and explanation will be available after you answer.
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#1
Re: bee sting babbu5508 - 05-20-10 14:24 My answer is: a.
a. The child is unlikely to have anaphylaxis with subsequent stings, and he should be treated with antihistamines and antibiotics now...
#2
Re: bee sting babbu5508 - 05-20-10 14:25 Are antibiotics and tetanus immunisations not recommended for bee stings???
#3
Re: bee sting
bingousmle - 05-20-10 14:29 @ babbu Cellulitis rarely develops after an insect sting, and antibiotics are not indicated in most cases.
also The child is unlikely to have anaphylaxis with subsequent stings, and he should be treated with
antihistamines only now
#5
Re: bee sting bingousmle - 05-20-10 14:46 Immunotherapy will not prevent large local reactions, thus venom skin tests serve no purpose.
#6
Re: bee sting babbu5508 - 05-21-10 02:23 k bingousmle...and yes ofcourseThe child is unlikely to have anaphylaxis with subsequent stings, and he should be treated with antihistamines only now..there is no role of immunotherapy
#7
Re: bee sting bingousmle - 05-21-10 06:50 yes babbu thats true so the child is unlikely to have anaphylaxis with subsequent stings, and he should be treated with antihistamines only now....
#10
Re: bee sting mtniharika - 05-25-10 04:17 My answer is: a.
a. The child is unlikely to have anaphylaxis with subsequent stings, and he should be treated with antihistamines and antibiotics now
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