var a = document.getElementById("a"),
b = document.getElementById("b");
a.addEventListener("change", function(){
var valor = this.value;
Array.prototype.forEach.call(b.options, function(opcion){
opcion.disabled = opcion.value == valor;
});
}, false);
<select id = "a">
<option value="1">Opcion 1</option>
<option value="2">Opcion 2</option>
<option value="3">Opcion 3</option>
<option value="4">Opcion 4</option>
</select>
<select id = "b">
<option value="1">Opcion 1</option>
<option value="2">Opcion 2</option>
<option value="3">Opcion 3</option>
<option value="4">Opcion 4</option>
</select>