Pediatric Dentistry · single question
For a patient with Addison's disease, what medication adjustment may be needed for dental procedures?
Show answer and explanation
Correct answer: A. Corticosteroid supplementation (steroid cover protocol)
- A. Correct. Patients with Addison's disease (adrenal insufficiency) cannot mount a normal cortisol stress response. Dental procedures (especially surgical ones) may precipitate an Addisonian crisis. Steroid supplementation ('steroid cover') may be needed per consultation with the patient's endocrinologist.
- B. Epinephrine is not specifically required for Addison's disease management in dental settings.
- C. Antibiotic prophylaxis is for cardiac conditions and implant procedures, not Addison's disease.
- D. Insulin adjustment is for diabetic patients, not Addison's disease.
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