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Medical Emergencies · single question

A patient on chronic steroids u2014 what is the most important dental consideration before surgery?

  1. Antibiotic prophylaxis is required
  2. Supplemental steroid dosing may be needed
  3. Fluoride application is needed
  4. Use of vasoconstrictors is contraindicated
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Correct answer: B. Supplemental steroid dosing may be needed

Prolonged corticosteroid use suppresses the HPA axis, causing adrenal atrophy. Before surgical stress, supplemental steroid dosing ('stress dosing') may be needed to prevent adrenal crisis. The need depends on steroid dose, duration, and type of procedure.

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