Medical Emergencies · single question

A patient needed extraction, has hypertension (150/100) and HbA1c 7.5%. For what reason is referral necessary?

  1. Refer due to high blood pressure
  2. Refer due to hyperglycemia (HbA1c)
  3. Refer for prophylactic antibiotics
  4. No referral needed
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Correct answer: A. Refer due to high blood pressure

BLOOD PRESSURE 150/100 mmHg = Stage 2 Hypertension. ADA/AHA guidelines recommend: BP ≥160/100 — defer elective treatment and refer. BP 140-159/90-99 — can treat with caution; monitor. However, for EXTRACTION (surgical procedure) with BP 150/100, referral/medical consultation for BP control before elective extraction is warranted. HbA1c 7.5% is well-controlled (below 8% threshold for dental treatment caution). The HIGH BLOOD PRESSURE is the primary concern for referral. A is correct.

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