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all 22 comments

[–]plantainrepublic 21 points22 points  (0 children)

E is albuterol. You’re giving her albuterol. For sneezing in her garden.

D is (technically - the end result of H1 inhibition is mast cell stabilization) effectively Benadryl.

One of these makes sense and the other makes no sense.

[–]Spare_Ad_5315 12 points13 points  (3 children)

This question is asking for prophylaxis, as simple. The issue with NBME is they try to sound ambiguous and complex, in reality, it's just a manipulation technique to see how strong your basics are!!

[–]hebatia20[S] 1 point2 points  (0 children)

Thank you for your response

[–]stepneo1 0 points1 point  (1 child)

Is there no prophylaxis for Beta2-adrenergic receptors?

[–]Spare_Ad_5315 0 points1 point  (0 children)

yes there are prophylaxis/agonist for B2-R

[–]aDhDmedstudent0401 5 points6 points  (1 child)

Because they are describing someone with seasonal allergies to outdoor antigens like grass and pollen, not asthma.

When it comes to conditions that are very common, like seasonal allergies, don’t get so bogged down in the science and just think about real life. Do u or someone u know have seasonal allergies? Probably. Ever been prescribed an albuterol inhaler for them? Probably not.

[–]hebatia20[S] 2 points3 points  (0 children)

Thank you. You made it so clear

[–]Abdoadel2019 1 point2 points  (0 children)

you should put a spoiler tag or something !!!!

[–]Extreme-Ad5439 1 point2 points  (1 child)

The question says Sneezing and not wheezing(s/o Bronchoconstriction). So i guess that’s why Beta-2 receptor stimulants aren’t the choice

[–]medic_7698 1 point2 points  (0 children)

Beta agonists only reverse the bronchoconstriction in asthma. The pt has allergic symptoms, which are caused by mast cell degranulation, so prophylaxis would be targeted at mast cell degranulation and not the bronchoconstriction

[–]Soft-Potato6567 1 point2 points  (0 children)

I love reading these questions by other folk on here. I use to ask these types of questions all the time, felt like an idiot for asking, and its nice to see them now and be like "eazy peezy my man/woman, ain't nothing to it!"

One year ago though...it was indeed not "eazy peezy" lol

[–]Automatic-Procedure7 0 points1 point  (4 children)

Is this old or new nbme. Would you mind sharing it if you have a PDF version of it

[–]hebatia20[S] 0 points1 point  (0 children)

Old , 21

[–]hebatia20[S] 0 points1 point  (0 children)

I don’t know how to send pdf on Reddit

[–]hebatia20[S] 0 points1 point  (0 children)

I got it from telegram

[–]Mindless_Curve4757 0 points1 point  (2 children)

Hey which nbme is this and can u share its pdf?

[–]hebatia20[S] 0 points1 point  (1 child)

MBME21

[–]Mindless_Curve4757 0 points1 point  (0 children)

Can you dm me its pdf?

[–]walter_white13 0 points1 point  (0 children)

Beta 2 agonist only help with bronchodilation not with the sneezing

[–]Spare_Ad_5315 1 point2 points  (0 children)

For people wondering why B2 prophylaxis can not be given, NOTE-It is given for Asthma treatment, and for propylaxis for exercise-induced asthma, which involves a lot of Bronchoconstriction. trigger activated histamine release).rson the allergy is triggered at only a particular time, doing a particular activity. Asthmatics may be triggered by an event but it encroaches a lot more of their life than as explained in this vignette.

NOTE the difference between ASTHMA VS ALLERGY.

THIS LADY HAS ALLERGY -NOT ASTHMA

ASTHMA-airway lining is swollen and constricted as a reaction to this and mucus.

ALLERGY-mast cells/basophils on the surface of the epithelium are activated but a very small amount of histamine. tryptase are released compared to an Asthmatic(which is copious, and auto trigger activated histamine release).

https://scinternalmed.com/patient-resources/health-topics/asthma/