You left the room during crown delivery and the patient swallowed the crown. What is NOT a factor that can happen to the patient?

If a patient swallows/aspirates a crown: CHOKING can occur if in the airway (A can happen). CYANOSIS can occur with airway obstruction reducing oxygen (B can happen). INABILITY TO TALK (aphonia/stridor) can occur with laryngeal obstruction (C can happen). SLOW PULSE (bradycardia) is NOT a direct consequence of aspirating/swallowing a crown — aspiration would cause TACHYCARDIA (increased heart rate due to stress/hypoxia), not bradycardia. Slow pulse (vagal response) is associated with vasovagal syncope, not aspiration. D is the NOT factor. D is correct.