Question 35 · LDEK · Pharmacotherapy in oral surgery
Indicate the true statements concerning Hoigne syndrome:
1) it is a complication of the intravenous administration of procaine penicillin;
2) it manifests with blood pressure elevation, bradycardia and hyperventilation that are followed by vomiting and marked pupil dilation;
3) symptoms subside spontaneously after 30 to 60 minutes or after steroid administration;
4) Hoigne symptom in medical history is a contraindication to penicillin administration.
The correct answer is:
2) it manifests with blood pressure elevation, bradycardia and hyperventilation that are followed by vomiting and marked pupil dilation;
3) symptoms subside spontaneously after 30 to 60 minutes or after steroid administration;
4) Hoigne symptom in medical history is a contraindication to penicillin administration.
The correct answer is:
- A. 1,2.
- B. 1,2,4.
- C. only 2.
- D. only 1.
- E. 1,2,3.
Hint
Hoigné syndrome is a non-allergic toxic-embolic reaction; think about heart rate, how it resolves and what that means for future penicillin use.
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