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Kaplan Qbank USMLE



Author5 Posts
  #1

A mentally competent 76-year-old man is in the terminal stage of multiple myeloma. He is unable to move and requires 24-hour nursing care. Increasing doses of narcotics are needed to
control severe pain. As a result, when he is pain-free, respiratory function is impaired and
consciousness is clouded. The patient says he cannot live with this degree of pain and asks to be given a lethal injection of pain medication. Which of the following is the most appropriate step regarding the pain medication?
A) Reduce the dosage so as not to impair respiration
B) Administer the dosage necessary to control pain despite respiratory impairment
C) Administer the dosage necessary to control pain and add a centrally acting stimulant
D) Appeal to the family to convince the patient to tolerate a bit more pain




  #2

B) Administer the dosage necessary to control pain despite respiratory impairment

centrally acting stimulant???? controversial

___________________
The Key to Succeed is Patience.

  #3

B) Administer the dosage necessary to control pain despite respiratory impairment

  #4

why not c?

  #5

yeah, why not c?







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