Home/Quiz/BOARD Exam MCQs on Medical Emergencies in Dental Practice BOARD Exam MCQs on Medical Emergencies in Dental Practice Welcome to your BOARD Exam MCQs on Medical Emergencies in Dental Practice Name 1. A 24-year-old anxious male presents for extraction of an impacted mandibular third molar under local anesthesia. Shortly after administration of the anesthetic, he becomes pale, diaphoretic, and complains of dizziness. He then briefly loses consciousness. Which of the following is the most common medical emergency encountered in dental practice? Angina pectoris Hypoglycemia Vasovagal syncope Epileptic seizure Acute asthma attack None 2. A 30-year-old anxious woman becomes pale, sweaty, and loses consciousness immediately after receiving local anesthesia for a dental extraction. You suspect vasovagal syncope. Which of the following patient positions is contraindicated during the initial management of this medical emergency? Supine position with legs elevated Trendelenburg position Upright (sitting) position Semi-supine position Recovery (lateral) position after regaining consciousness None 3. A 38-year-old man with a known history of epilepsy develops a generalized tonic-clonic seizure during a dental extraction. The seizure persists for more than 5 minutes despite removal of instruments and appropriate supportive measures. Intravenous access cannot be obtained immediately. Which of the following is the first-line drug of choice for managing this patient in the dental setting? Intravenous diazepam Intramuscular midazolam Oral phenytoin Sublingual nitroglycerin Intramuscular phenytoin None 4. A 45-year-old man develops generalized urticaria, facial swelling, wheezing, and hypotension within minutes of receiving a local anesthetic during a dental procedure. You suspect anaphylaxis. What is the recommended initial dose and route of adrenaline (epinephrine) for this adult patient? 1:10,000 adrenaline administered as an IV bolus 0.3–0.5 mg of 1:1000 adrenaline administered intramuscularly (IM) 0.3–0.5 mg of 1:1000 adrenaline administered subcutaneously (SC) 1 mg of 1:10,000 adrenaline administered intramuscularly (IM) 0.1 mg of 1:1000 adrenaline administered intravenously (IV) None 5. A 62-year-old man with a history of hypertension develops severe crushing retrosternal chest pain during a dental extraction. The pain radiates to his left arm and jaw and persists despite three doses of sublingual nitroglycerin administered 5 minutes apart. Which of the following is the most likely diagnosis? Stable angina Myocardial infarction Hyperventilation syndrome Gastroesophageal reflux disease (GERD) Acute pericarditis None 6. A 58-year-old man collapses in the dental chair and is found to be unresponsive, apneic, and pulseless. You are the only healthcare provider immediately available and begin cardiopulmonary resuscitation (CPR) while waiting for additional help. According to the latest American Heart Association (AHA) guidelines, what is the recommended compression-to-ventilation ratio for a single rescuer performing adult CPR? 15:2 30:2 5:1 10:1 15:1 None 7. A 35-year-old patient undergoes multiple dental procedures requiring a large dose of local anesthetic. Shortly after treatment, the patient develops cyanosis, headache, dizziness, and low pulse oximetry readings that do not improve with oxygen therapy. Methemoglobinemia is suspected. Which of the following local anesthetics is most commonly associated with this complication? Lignocaine (Lidocaine) Bupivacaine Prilocaine Mepivacaine Articaine None 8. A 54-year-old man suddenly becomes distressed while undergoing a dental procedure after aspirating a small object. He is unable to speak or cough effectively and appears panicked. Which of the following is considered the universal sign of laryngeal obstruction (choking)? Violent coughing Clutching the throat with both hands Cyanosis of the lips Unconsciousness Stridor None 9. A 22-year-old patient with Type 1 diabetes mellitus becomes restless during a dental extraction. He is confused, cold, clammy, diaphoretic, and trembling. His speech becomes slurred, and he appears anxious. Which of the following is the most likely diagnosis? Diabetic ketoacidosis (DKA) Hyperglycemia Hypoglycemia Thyroid storm Hyperosmolar hyperglycemic state (HHS) None 10. A healthy 70-kg adult is scheduled for multiple dental extractions under local anesthesia using 2% lignocaine with 1:200,000 adrenaline. Before administering the anesthetic, you calculate the maximum safe dose to avoid local anesthetic systemic toxicity (LAST). What is the maximum recommended dose? 4.4 mg/kg 7.0 mg/kg 300 mg absolute 500 mg absolute 200 mg absolute None 11. A 29-year-old man presents to the dental clinic with severe chest pain, agitation, hypertension, and tachycardia shortly after admitting to recent cocaine use. Cocaine-induced acute coronary syndrome is suspected. Which of the following drugs is contraindicated in the initial management of this patient? Nitroglycerin Benzodiazepines Beta-blockers Aspirin Oxygen (if hypoxemic) None 12. A 34-year-old woman with a history of bronchial asthma develops acute wheezing, dyspnea, and prolonged expiration during a dental procedure. She receives repeated doses of inhaled salbutamol, but her respiratory distress continues to worsen, and she has difficulty speaking in full sentences. Which of the following is the most appropriate next step in emergency management? Intravenous aminophylline Intramuscular adrenaline (epinephrine) Oral theophylline Inhaled corticosteroids Oral prednisolone None 13. A 56-year-old patient with Cushing's syndrome and a history of long-term corticosteroid therapy presents for surgical removal of an impacted third molar under local anesthesia. The patient reports that they recently stopped taking their steroid medication. During the procedure, they become weak, hypotensive, confused, and collapse. Which of the following medical emergencies is the most likely diagnosis? Adrenal crisis (Acute adrenal insufficiency) Thyroid storm Hyperglycemic hyperosmolar state (HHS) Myxedema coma Vasovagal syncope None 14. A 26-year-old anxious woman develops rapid, deep breathing during a dental extraction. She complains of dizziness, tingling around her mouth and fingers, and carpopedal spasm. Vital signs show tachypnea with normal oxygen saturation. Arterial blood gas (ABG) analysis is most likely to demonstrate which of the following? Respiratory acidosis Respiratory alkalosis Metabolic acidosis Metabolic alkalosis Mixed respiratory and metabolic acidosis None 15. A 61-year-old man develops severe crushing retrosternal chest pain radiating to the left arm during a dental procedure. The pain persists despite administration of three doses of sublingual nitroglycerin, and an acute myocardial infarction (MI) is suspected. Which of the following correctly represents the traditional MONA acronym used in the initial management of suspected MI? Morphine, Oxygen, Nitroglycerin, Aspirin Midazolam, Oxygen, Nifedipine, Aspirin Morphine, Oxygen, Nifedipine, Atropine Metoprolol, Oxygen, Nitroglycerin, Aspirin Morphine, Oxygen, Nitroglycerin, Atropine None 16. A 42-year-old man undergoing surgical extraction of an impacted mandibular third molar suddenly develops tinnitus, circumoral numbness, a metallic taste, agitation, and confusion immediately after administration of a local anesthetic. Local Anesthetic Systemic Toxicity (LAST) is suspected. What is the most appropriate initial management? Administer IV lipid emulsion immediately Stop the injection and manage the airway Administer IV diazepam Hyperventilate the patient Place the patient in the upright position None 17. A 40-year-old woman with a history of hyperthyroidism presents for a dental procedure. She has a noticeable exophthalmos ("pop-eye" appearance). During treatment, she develops high fever, marked tachycardia, agitation, and delirium. Which of the following is the most likely diagnosis? Hypothyroidism Thyroid storm Addisonian crisis Pheochromocytoma Hyperventilation syndrome None 18. A 64-year-old man becomes unresponsive, pulseless, and apneic while undergoing a dental procedure. You immediately begin high-quality cardiopulmonary resuscitation (CPR) while another team member activates emergency medical services and retrieves an automated external defibrillator (AED). According to the latest AHA guidelines, what is the recommended depth of chest compressions for an adult? At least 1.5 inches (4 cm) At least 2 inches (5 cm) Exactly 1 inch (2.5 cm) At least 3 inches (7.5 cm) At least 1 inch (2.5 cm), but not more than 2 inches (5 cm) None 19. A 67-year-old man develops retrosternal chest pain during a dental procedure that is consistent with stable angina. You are about to administer sublingual nitroglycerin, but the patient states he took medication for erectile dysfunction the previous evening. Which of the following drugs is a contraindication to administering nitroglycerin due to the risk of profound hypotension? Aspirin Sildenafil (Viagra) Warfarin Atenolol Clopidogrel None 20. A 58-year-old man with a history of diabetes mellitus becomes confused and disoriented during a dental procedure. He is conscious but unable to provide a reliable history, and a glucometer is not immediately available. You are uncertain whether he is experiencing hypoglycemia or hyperglycemia. What is the most appropriate initial management? Administer insulin Administer glucose Wait for laboratory confirmation Administer normal saline Administer glucagon only after loss of consciousness None 21. A 45-year-old anxious patient receives oral diazepam for conscious sedation before an oral surgical procedure. Shortly afterward, the patient becomes excessively drowsy with depressed consciousness and respiratory depression consistent with benzodiazepine overdose. Which of the following drugs is the specific antagonist for benzodiazepine overdose? Naloxone Flumazenil Atropine Protamine sulfate N-acetylcysteine None 22. A 48-year-old patient is undergoing an oral and maxillofacial procedure under intravenous sedation. During administration of thiopentone sodium, the patient complains of severe burning pain and swelling at the injection site, raising suspicion of accidental extravascular (perivascular) injection. What is the most appropriate immediate management? Apply a cold compress and leave the area undisturbed Leave the needle in situ and inject procaine/lidocaine Perform immediate incision and drainage Inject adrenaline into the affected site Remove the needle immediately and continue the procedure None 23. A 59-year-old man suddenly collapses during a dental procedure. He is unresponsive, apneic, and pulseless. CPR is initiated immediately, and an Automated External Defibrillator (AED) is attached. Which of the following cardiac rhythms is shockable with an AED? Asystole Pulseless electrical activity (PEA) Ventricular fibrillation (VF) Sinus bradycardia Normal sinus rhythm None 24. A 68-year-old man develops marked bradycardia (heart rate 34 beats/min) during a dental procedure. He becomes hypotensive, dizzy, and confused, indicating hemodynamic instability. Which of the following is the drug of choice for the initial management of symptomatic severe bradycardia? Adenosine Atropine Amiodarone Lidocaine Verapamil None 25. A 32-year-old patient is prescribed amoxicillin following surgical extraction of an impacted mandibular third molar. Within minutes of taking the first dose, the patient develops generalized urticaria, facial swelling, difficulty breathing, and hypotension. Which of the following best describes this reaction? Type II hypersensitivity reaction Type I hypersensitivity reaction Type IV hypersensitivity reaction Toxic reaction Type III hypersensitivity reaction None 26. A dental team encounters two medical emergencies on the same day: an unresponsive adult in the dental chair and an unresponsive infant in the waiting area. Before initiating CPR, the healthcare provider checks for a pulse. According to current resuscitation guidelines, which pulse sites should be assessed in the adult and the infant, respectively? Carotid pulse in the adult; Brachial pulse in the infant Radial pulse in the adult; Femoral pulse in the infant Carotid pulse in both the adult and infant Brachial pulse in the adult; Carotid pulse in the infant Radial pulse in both the adult and infant None 27. A 24-year-old anxious woman develops rapid, deep breathing during a dental extraction. She complains of dizziness, tingling around the mouth, and numbness in her fingers. She is alert, with normal oxygen saturation and no history of respiratory disease. Which of the following is NOT an appropriate management step for this patient? Calm and reassure the patient Breathing into a paper bag (historically recommended) Cupping the hands over the mouth and nose to slow breathing Administering 100% oxygen Coaching the patient to breathe slowly and deliberately None 28. A 58-year-old man with end-stage renal disease (ESRD) undergoing hemodialysis three times per week presents for extraction of a grossly carious molar. To minimize the risk of bleeding related to heparin used during dialysis and to optimize the patient's medical status, when should the dental procedure be scheduled? On the day of dialysis The day after dialysis Immediately before dialysis Any time without regard to the dialysis schedule Two days after dialysis None 29. A 46-year-old man develops tinnitus, circumoral numbness, seizures, and hypotension immediately after administration of a local anesthetic during a dental procedure. Despite airway management and supportive care, he develops signs of Local Anesthetic Systemic Toxicity (LAST). Intravenous lipid emulsion therapy is indicated. Which concentration of lipid emulsion should be used? 10% lipid emulsion 20% lipid emulsion 50% lipid emulsion 5% lipid emulsion 40% lipid emulsion None 30. A 50-year-old woman with a history of fatigue, weight loss, and postural hypotension presents for dental treatment. Oral examination reveals diffuse brown hyperpigmentation of the buccal mucosa and gingiva. Laboratory investigations confirm primary adrenal insufficiency (Addison's disease). The oral pigmentation is most likely due to elevated levels of which hormone? Cortisol Adrenocorticotropic hormone (ACTH) Aldosterone Adrenaline Thyroid-stimulating hormone (TSH) None 31. A 64-year-old man with a history of poorly controlled hypertension develops a severe headache, chest discomfort, blood pressure of 230/130 mmHg, and altered mental status during a dental procedure. A hypertensive emergency is suspected. Which of the following drugs is most appropriate for emergency management? Ephedrine Sublingual nifedipine Labetalol or nitroglycerin Methoxamine Atropine None 32. A 66-year-old man suddenly develops facial drooping, weakness of the right arm, and slurred speech while undergoing a dental procedure. A stroke is suspected. Which of the following correctly represents the FAST mnemonic used for rapid recognition of stroke? Face, Arm, Speech, Time Face, Airway, Speech, Tongue Fast, Action, Save, Time Face, Arm, Smile, Time Face, Airway, Swallowing, Time None 33. A 42-year-old man accidentally aspirates an extracted tooth during a dental extraction. He is conscious, able to speak, and coughing forcefully without signs of respiratory distress. What is the most appropriate initial management? Perform the Heimlich (abdominal thrust) maneuver immediately Perform back blows Encourage the patient to continue coughing and monitor closely Start cardiopulmonary resuscitation (CPR) Perform blind finger sweeps to retrieve the tooth None 34. A 52-year-old man with a prosthetic heart valve is scheduled for a dental extraction involving manipulation of the gingival tissues. He has no history of penicillin allergy. According to current infective endocarditis prophylaxis recommendations, what is the standard antibiotic regimen? Amoxicillin 2 g orally, 1 hour before the procedure Amoxicillin 3 g orally, 1 hour before the procedure Clindamycin 600 mg orally Azithromycin 500 mg orally Cephalexin 500 mg orally None 35. A 45-year-old anxious patient receives multiple cartridges of a local anesthetic containing epinephrine during a prolonged dental procedure. Shortly afterward, the patient develops palpitations, anxiety, tremors, and elevated blood pressure. Which of the following is NOT a typical sign of epinephrine overdose? Tachycardia Hypertension Bradycardia Anxiety/Fear Tremors None 36. A 30-year-old patient with mild, well-controlled bronchial asthma undergoes surgical extraction of an impacted third molar. You need to prescribe an analgesic for postoperative pain. Which of the following is considered the safest analgesic for this patient? Aspirin Ibuprofen Acetaminophen (Paracetamol) Diclofenac Naproxen None 37. A 68-year-old man taking warfarin for atrial fibrillation presents for a simple dental extraction. His International Normalized Ratio (INR) is 3.0, measured within the previous 24 hours. What is the most appropriate management? Stop warfarin for 3 days before extraction Proceed with the extraction using local hemostatic measures Discontinue warfarin and bridge with heparin Transfuse fresh frozen plasma before extraction Postpone the extraction until the INR is below 2.0 None 38. A 35-year-old woman develops generalized urticaria, facial swelling, stridor, wheezing, and hypotension within minutes of receiving amoxicillin following a dental extraction. Despite prompt recognition, her condition rapidly deteriorates. Which of the following is the main cause of death in anaphylaxis? Cardiac arrhythmia Upper airway obstruction (laryngeal edema) Hypotension Renal failure Cerebral edema None 39. A 27-year-old woman who is 22 weeks pregnant presents with symptomatic dental caries requiring restorative treatment. She has an otherwise uncomplicated pregnancy. Which trimester is generally considered the safest period for routine dental treatment? First trimester Second trimester Third trimester Any trimester is equally preferred for elective treatment None (dental treatment should be deferred until after delivery) None 40. A 32-year-old woman at 34 weeks of pregnancy is placed in the supine position for a dental extraction. Within a few minutes, she develops dizziness, pallor, sweating, nausea, hypotension, and tachycardia. Her symptoms improve when she is turned onto her left side. Which blood vessel is primarily compressed, causing this condition? Aorta Inferior vena cava Superior vena cava Portal vein Pulmonary artery None 41. A 28-year-old man with a known history of epilepsy develops a generalized tonic-clonic seizure during a dental extraction. Despite removal of instruments and supportive measures, the seizure continues without regaining consciousness. After what duration should this seizure be considered status epilepticus, requiring immediate emergency pharmacologic intervention? 1 minute 2 minutes 5 minutes 30 minutes 10 minutes None 42. A 60-year-old man develops severe crushing chest pain radiating to his left arm during a dental procedure. Acute myocardial infarction (MI) is suspected. After activating emergency medical services, you administer chewable aspirin. What is the primary mechanism of action of aspirin in this setting? Vasodilation Thrombolysis Inhibition of Thromboxane A₂ synthesis Beta-blockade Calcium channel blockade None 43. A 34-year-old patient presents with a maxillary canine space infection that has progressed despite antibiotic therapy. He develops fever, periorbital edema, proptosis, diplopia, and inability to abduct the affected eye. Cavernous sinus thrombosis secondary to an odontogenic infection is suspected. Which cranial nerve palsy is most characteristically affected early in this condition? Facial nerve (CN VII) Abducens nerve (CN VI) Vagus nerve (CN X) Hypoglossal nerve (CN XII) Trigeminal nerve (CN V3) None 44. A 22-year-old male athlete with a known history of Hypertrophic Obstructive Cardiomyopathy (HOCM) presents for surgical removal of an impacted third molar. During the preoperative assessment, the dentist reviews the potential systemic complications associated with his condition. HOCM is a significant risk factor for which of the following? Sudden cardiac death in young individuals Stroke in the elderly Renal failure Liver cirrhosis Pulmonary fibrosis None 45. A 70-year-old man presents for elective extraction of a non-restorable molar. His medical history reveals that he suffered an ischemic stroke 2 months ago and is currently undergoing rehabilitation. He is medically stable but has residual left-sided weakness. According to standard dental management recommendations, for how long should elective dental treatment generally be deferred after a stroke? 1 month 3 months 6 months 1 year 2 weeks None 46. A 25-year-old anxious woman develops rapid, deep breathing, dizziness, and tingling around her lips and fingers during a dental procedure. She is alert, with normal oxygen saturation and no evidence of airway obstruction or cardiovascular compromise. In which of the following medical emergencies is routine oxygen administration NOT indicated? Anaphylaxis Myocardial infarction (MI) Hyperventilation syndrome Vasovagal syncope Acute asthma attack None 47. A dental assistant is preparing the emergency oxygen cylinder before a conscious sedation procedure. To ensure the correct cylinder is selected, the dentist asks about the standard oxygen cylinder color coding commonly tested in dental board examinations. Which of the following is the correct answer? Blue Black with white shoulder Grey Black Green None 48. A dentist is preparing the conscious sedation unit before a surgical extraction. While checking the gas cylinders, the dental assistant asks which color identifies the nitrous oxide cylinder according to the traditional color-coding system commonly tested in dental board examinations. Blue Green Black Grey Black with white shoulder None 49. A 38-year-old man presents with generalized gingival enlargement that has progressively worsened over the past several months. His medical history reveals that he is taking phenytoin for epilepsy, nifedipine for hypertension, and cyclosporine following a renal transplant. Which of the following drugs is associated with drug-induced gingival enlargement? Nifedipine Cyclosporine Phenytoin All of the above None 50. A 68-year-old woman with metastatic breast cancer is receiving intravenous zoledronic acid. She presents for extraction of a non-restorable mandibular molar. The dentist is concerned about the risk of Medication-Related Osteonecrosis of the Jaw (MRONJ). Which of the following medications is most strongly associated with the development of MRONJ? Oral alendronate Intravenous zoledronic acid Calcium supplements Vitamin D Oral calcium carbonate None 51. A 62-year-old man suddenly becomes unresponsive during a dental extraction. He is not breathing normally. Before initiating chest compressions, you assess for a carotid pulse. According to current Basic Life Support (BLS) guidelines, the pulse check should not exceed which of the following durations? 5 seconds 10 seconds 15 seconds 20 seconds 30 seconds None 52. A 60-year-old man with a known history of stable angina develops retrosternal chest pain while climbing the stairs to the dental clinic. The pain subsides after he rests for a few minutes and takes one sublingual nitroglycerin tablet. Which of the following most commonly triggers stable angina? Rest Sleep Exertion or emotional stress Eating Deep inspiration None 53. A 55-year-old woman with a history of long-term corticosteroid therapy for autoimmune disease abruptly stops taking her medication. Two days later, while undergoing a dental procedure, she develops severe weakness, dizziness, hypotension, confusion, and collapses. Which of the following is the most characteristic sign of acute adrenal insufficiency (adrenal crisis)? Hypertension Hypotension and vascular collapse Weight gain Moon face Hyperglycemia None 54. A 40-year-old man receives an opioid analgesic following oral surgery. Shortly afterward, he becomes difficult to arouse, with slow, shallow breathing and pinpoint pupils. Opioid overdose is suspected. Which of the following represents the classic triad of opioid overdose? Coma, miosis, respiratory depression Coma, mydriasis, hypertension Agitation, tachycardia, mydriasis Seizures, hyperthermia, rigidity Bradycardia, mydriasis, hyperventilation None 55. A 52-year-old woman with a history of major depressive disorder is scheduled for a surgical extraction under local anesthesia. Her medication history reveals that she is taking a tricyclic antidepressant (TCA). Which of the following medications may interact with the vasoconstrictor in local anesthetic solutions and should be used with caution or avoided in excessive doses? Tricyclic antidepressants (TCAs) Selective serotonin reuptake inhibitors (SSRIs) Benzodiazepines Aspirin Metformin None 56. A 45-year-old man accidentally aspirates a dental crown during treatment. He suddenly becomes unable to speak, cough, or breathe and clutches his throat with both hands (the universal choking sign). He remains conscious. What is the most appropriate immediate management? Perform a blind finger sweep Perform abdominal thrusts (Heimlich maneuver) Perform an emergency tracheostomy Start cardiopulmonary resuscitation (CPR) Encourage the patient to continue coughing None 57. A 58-year-old man suddenly collapses during a dental procedure. He is unresponsive, apneic, and pulseless. An ECG monitor is attached and shows rapid, completely disorganized electrical activity without identifiable P waves, QRS complexes, or T waves. Which of the following best describes this ECG rhythm? Saw-tooth pattern Chaotic irregular deflections Flat line Regular broad complex tachycardia Normal sinus rhythm None 58. A 45-year-old man is scheduled for oral and maxillofacial surgery under general anesthesia. The anesthetist administers a medication preoperatively to reduce salivary and bronchial secretions and facilitate airway management. Which of the following drugs acts as an antisialagogue? Pilocarpine Atropine Neostigmine Adrenaline Bethanechol None 59. A 16-year-old boy with Hemophilia A develops persistent severe bleeding following the extraction of a mandibular first molar. Despite local hemostatic measures, the hemorrhage continues. Which of the following is the definitive replacement therapy for controlling severe bleeding in this patient? Factor VIII concentrate Platelet transfusion Packed red blood cells Albumin infusion Fresh frozen plasma alone None 60. A 42-year-old man presents to the emergency department with a rapidly progressive swelling of the floor of the mouth, severe pain, difficulty swallowing, muffled ("hot potato") voice, drooling, and elevation of the tongue following an infected mandibular second molar. Which fascial spaces are characteristically involved in Ludwig's angina? Submandibular space only Sublingual space only Submental space only Bilateral submandibular, sublingual, and submental spaces Buccal and canine spaces None 61. A 58-year-old man with a mechanical prosthetic mitral valve is scheduled for extraction of a grossly carious mandibular molar. The procedure will involve manipulation of the gingival tissues. Antibiotic prophylaxis is indicated primarily to prevent which of the following conditions? Rheumatic fever Infective endocarditis Atherosclerosis Angina pectoris Myocarditis None 62. A 40-year-old woman with a history of sulfite sensitivity and severe asthma develops wheezing and urticaria shortly after receiving a local anesthetic containing epinephrine during a dental procedure. The reaction is suspected to be caused by the preservative added to stabilize the vasoconstrictor. Which of the following is the most likely preservative responsible? Methylparaben Sodium metabisulfite Sodium chloride Distilled water Benzalkonium chloride None 63. A 45-year-old man presents for an elective dental extraction. As part of the preoperative assessment, a fasting blood glucose (FBG) test is reviewed. Which of the following represents the normal fasting blood glucose level in a healthy adult? 70–100 mg/dL 120–150 mg/dL 40–60 mg/dL 150–200 mg/dL 100–125 mg/dL None 64. A 62-year-old man with a known history of stable angina develops retrosternal chest pain radiating to his left arm while undergoing a dental extraction. He is conscious and has brought his prescribed emergency medication. Which drug from the dental emergency kit should be administered initially for suspected acute anginal chest pain? Aromatic ammonia Nitroglycerin spray/tablet Diphenhydramine Oral glucose Atropine None Time's up