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Dentistry · Medical emergencies: hypoglycemia
Sample itemDuring a dental visit, a conscious patient with diabetes becomes sweaty, tremulous, confused, and has low capillary glucose. What is the initial management?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Give rapidly absorbed oral carbohydrate if they can swallow safely
Conscious symptomatic hypoglycemia should be treated promptly with fast-acting oral glucose or carbohydrate when swallowing is safe, followed by reassessment and longer-acting carbohydrate as needed. Severe or unconscious cases need emergency protocols.
Option by option
A. Keep the patient fasting
Fasting prolongs hypoglycemia.
B. Give rapidly absorbed oral carbohydrate if they can swallow safely (correct)
Correct. Rapid carbohydrate corrects conscious hypoglycemia.
C. Inject long-acting insulin
Insulin would worsen low glucose.
D. Give a diuretic
Diuretics have no role.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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