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Unstable Angina Medical Consultation — NDEB AFK MCQ

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ModerateMedical Emergencies in DentistryUnstable Angina Medical ConsultationNDEB AFK

Which of the following conditions should prompt the dentist to obtain a medical consultation before providing routine dental treatment?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Unstable angina — chest pain at rest or with minimal exertion within the past 2 weeks

Unstable angina (chest pain occurring at rest, with increasing frequency, or with minimal exertion) within the past 2 weeks represents a high-risk cardiac condition. Elective dental treatment should be deferred and the patient referred to their physician/cardiologist for evaluation and stabilisation. Unstable angina may progress to acute myocardial infarction. Dental treatment should only proceed after medical clearance confirms the patient is stabilised and at acceptable risk. Emergency dental treatment may proceed with appropriate precautions and medical backup.

Reference: Malamed – Medical Emergencies in the Dental Office, 8th ed., 2022