KROK 1 2015 – Question 36 · KROK (Medicine) · Pathophysiology

Several minutes after a dentist administered novocaine for local anaesthesia of a patient’s tooth, the following symptoms sharply developed in the patient: fatigue, skin itching. Objectively the following can be observed: skin hyperemia, tachycardia, BP dropped down to 70/40 mm Hg. What kind of allergic reaction is this pathology?

  1. A. Immune complex
  2. B. Cell-mediated immune reaction
  3. C. Stimulating
  4. D. Anaphylactic
  5. E. Cytotoxic
Hint

Note how soon after the injection the signs appeared and what that timing tells you about which type of hypersensitivity is involved.

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