Medical Emergencies · single question

A patient feels dizzy/light-headed (presyncope) after you treat her. What is the most appropriate position?

  1. Standing and walking it off
  2. Prone (face down)
  3. Sitting fully upright
  4. Supine with the legs elevated (Trendelenburg)
Show answer and explanation

Correct answer: D. Supine with the legs elevated (Trendelenburg)

  • A. Standing/walking risks a fall and further drops cerebral blood flow.
  • B. Prone positioning compromises the airway and does nothing to restore cerebral perfusion.
  • C. Sitting upright keeps the brain above the heart and worsens cerebral hypoperfusion in a dizzy patient.
  • D. Correct. Placing a fainting/pre-fainting patient supine with the FEET ELEVATED (Trendelenburg) increases venous return and cerebral perfusion — the cornerstone of syncope management. (Note: a pregnant patient should be placed in the LEFT lateral position to avoid vena cava compression.)

Note: Plain 'supine' is partially correct, but adding feet elevation (Trendelenburg) is what maximizes cerebral perfusion for presyncope/syncope, so it is the better answer.

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