Medical Emergencies · single question

A patient with Addison's disease needs dental treatment. What medication must be given before the procedure?

  1. Epinephrine
  2. Atropine
  3. Corticosteroids (steroid supplementation)
  4. Antihistamines
Show answer and explanation

Correct answer: C. Corticosteroids (steroid supplementation)

  • A. ❌ Epinephrine treats anaphylaxis — not adrenal insufficiency prophylaxis.
  • B. ❌ Atropine controls secretions and treats bradycardia — not adrenal crisis prevention.
  • C. ✅ Correct. Patients with Addison's disease cannot mount a cortisol stress response. Stress-dose corticosteroid supplementation is required before dental procedures to prevent adrenal crisis.
  • D. ❌ Antihistamines manage allergic reactions, not adrenal insufficiency.

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