1. What is the primary cause of anaphylactic shock? A. Bacterial infection B. Viral invasion C. Severe allergic reaction D. Heart failure E. Dehydration 2. Which of the following is the first-line treatment for anaphylactic shock? A. Corticosteroids B. Antihistamines C. Oxygen therapy D. Epinephrine (Adrenaline) E. Intravenous fluids 3. What is the most common route of epinephrine administration in anaphylaxis? A. Oral B. Subcutaneous C. Intravenous D. Intramuscular E. Inhalation 4. Which symptom is most characteristic of anaphylactic shock? A. Bradycardia B. Hypertension C. Urticaria (hives) D. Constipation E. Headache 5. What is the most common trigger of anaphylaxis in children? A. Pollen B. Food allergies C. Insect stings D. Latex E. Medications 6. How quickly can anaphylactic shock develop after exposure to an allergen? A. Within hours B. Within days C. Immediately to 30 minutes D. 24–48 hours E. After one week 7. Which immunoglobulin is primarily involved in anaphylaxis? A. IgA B. IgG C. IgM D. IgE E. IgD 8. Which of the following is NOT a common sign of anaphylactic shock? A. Hypotension B. Bronchospasm C. Flushed skin D. Chest pain E. Slow breathing 9. A biphasic reaction in anaphylaxis refers to: A. Two people having anaphylaxis at once B. Anaphylaxis that occurs without an allergen C. A second phase of symptoms after initial recovery D. Reaction to two allergens simultaneously E. Allergic reaction limited to skin 10. Which medication should be given after epinephrine in anaphylaxis management? A. Antibiotics B. Beta-blockers C. Antihistamines D. Diuretics E. Insulin 11. Anaphylactic shock can cause airway obstruction due to: A. Bronchodilation B. Tongue muscle fatigue C. Laryngeal edema D. Lung fibrosis E. Decreased mucus production 12. Which of the following food allergens is most likely to cause anaphylaxis? A. Rice B. Bananas C. Peanuts D. Potatoes E. Apples 13. The proper dose of intramuscular epinephrine for adults is usually: A. 0.05 mg B. 0.15 mg C. 0.3–0.5 mg D. 1.0 mg E. 2.0 mg 14. What is the common site for intramuscular injection of epinephrine? A. Deltoid muscle B. Abdomen C. Gluteus maximus D. Vastus lateralis (thigh) E. Forearm 15. Which of these patients is at higher risk for anaphylaxis? A. History of asthma and multiple allergies B. History of hypertension C. History of diabetes D. History of depression E. History of migraine 16. Which class of drugs is known to worsen anaphylactic reactions? A. NSAIDs B. Beta-blockers C. Statins D. Diuretics E. SSRIs 17. Which lab test may support the diagnosis of anaphylaxis? A. Troponin B. Serum tryptase C. C-reactive protein D. D-dimer E. Hemoglobin 18. What should be done after administering epinephrine? A. Wait and observe at home B. Apply cold compress C. Immediately call emergency services D. Give antibiotics E. Drink more fluids 19. How long should a patient be monitored after anaphylaxis? A. 1 hour B. 2 hours C. 4–6 hours D. 10–15 minutes E. 24–48 hours 20. What is the best prevention strategy for patients with known severe allergies? A. Avoid exercise B. Use probiotics C. Carry an epinephrine auto-injector D. Eat more fiber E. Avoid vaccina

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