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A 12-yr-old child with a history of allergy to yellow jackets is stung and immediately begins experiencing tightness in the chest and wheezing. The drug of first choice for management of this child is:

a)    Inhaled albuterol
b)    Subcutaneous epinephrine
c)    Intramuscular diphenhydramine
d)    Intramuscular epinephrine
e)    Oral corticosteroids
in Pediatrics by

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d)    Intramuscular epinephrine