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  #1  
Old 06-02-2015
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Default Anaphylaxis Q!!!

So as I was reading MTB3 again, I realized on page 33 it says treatment for anaphylaxis is Subcutaneous Epi...and Dr. Fischer seems to emphasize this over and over on same page. However, in UWorld they seem to disagree (qID: 5634 and 5951) and mention to use IM Epi.
Just curious, what would I pick on the real test and expect to get it right?...any inputs appreciated!
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Old 06-03-2015
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Quote:
Originally Posted by Happim90 View Post
So as I was reading MTB3 again, I realized on page 33 it says treatment for anaphylaxis is Subcutaneous Epi...and Dr. Fischer seems to emphasize this over and over on same page. However, in UWorld they seem to disagree (qID: 5634 and 5951) and mention to use IM Epi.
Just curious, what would I pick on the real test and expect to get it right?...any inputs appreciated!
I will pick IM, because as UWorld explanation says, there is more vessels in muscle than subcutaneous space, making the absorption into the blood faster. Remember that even if you have the last edition of MTB, it has some months since it was released. UWorld keep reviewing and updating the questions constantly.

Wish me luck, my test is tomorrow
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Old 06-03-2015
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Default Best of luck!!!

Quote:
Originally Posted by Dr. Isabel View Post
I will pick IM, because as UWorld explanation says, there is more vessels in muscle than subcutaneous space, making the absorption into the blood faster. Remember that even if you have the last edition of MTB, it has some months since it was released. UWorld keep reviewing and updating the questions constantly.

Wish me luck, my test is tomorrow
Best of luck to you!!! I hope you pass with flying colors. Let us know how it goes...
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Old 06-03-2015
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Quote:
Originally Posted by Happim90 View Post
So as I was reading MTB3 again, I realized on page 33 it says treatment for anaphylaxis is Subcutaneous Epi...and Dr. Fischer seems to emphasize this over and over on same page. However, in UWorld they seem to disagree (qID: 5634 and 5951) and mention to use IM Epi.
Just curious, what would I pick on the real test and expect to get it right?...any inputs appreciated!
The 3rd (latest) edition of MTB3 (page 39) has updated the correct route to INTRAMUSCULAR (IM Epi in a 1:1000 concentration).
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