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Medical Emergencies · single question

A patient presents with a blood pressure of 180/120 mmHg. What is the appropriate management?

  1. Treat as a hypertensive crisis and refer for emergency medical evaluation
  2. Proceed with elective dental treatment as planned
  3. Administer a sedative and continue with treatment
  4. Recheck in one week and proceed if similar
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Correct answer: A. Treat as a hypertensive crisis and refer for emergency medical evaluation

A blood pressure of 180/120 mmHg meets the threshold for a hypertensive crisis per current AHA/ACC classification, requiring deferral of elective dental treatment and emergency medical evaluation/referral, particularly if the patient has any associated symptoms (headache, vision changes, chest pain, shortness of breath).

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