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Corticosteroid adverse effects — NDEB AFK MCQ

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ModerateBiomedical SciencesCorticosteroid adverse effectsNDEB AFK

A 66-year-old with Crohn disease has osteoporosis, glaucoma, hypertension, and a history of peptic ulcer disease. The dental history notes delayed healing after extractions. What is the most likely cause/mechanism?

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Correct answer: E — Long-term systemic corticosteroid therapy

The cluster of osteoporosis, glaucoma, hypertension, peptic ulcer risk, and impaired healing is most consistent with long-term systemic corticosteroid therapy. Acetaminophen and fluoride do not explain this multisystem pattern. The pearl is that medical history review should identify steroid exposure because it affects infection risk, healing, and possible adrenal suppression considerations.

Reference: NDEB released item style; Canadian dental pharmacology references