Medical Emergencies · single question

What is the MOST COMMON medical emergency in a dental office?

  1. Stroke (ACV)
  2. Hyperglycemia
  3. Hypoglycemia
  4. Syncope (Vasovagal)
Show answer and explanation

Correct answer: D. Syncope (Vasovagal)

Syncope (D) is the most common medical emergency in the dental office, accounting for approximately 50-60% of all dental office emergencies. Vasovagal syncope results from a sudden drop in heart rate and blood pressure, leading to brief loss of consciousness.

• Triggers in dental setting: anxiety, pain, sight of blood, needle phobia, prolonged chair time, fasting, heat.
• Signs: prodrome of pallor, diaphoresis, nausea, lightheadedness, yawning, then brief LOC.
• Management: supine/Trendelenburg position, cold compress, spirits of ammonia, monitor vitals. Recovery is usually rapid (<1 min).
• Other common emergencies in order: hypoglycemia, angina, seizures, hyperventilation, allergic reactions.
• Anaphylaxis is most deadly; syncope is most common.

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