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Kaplan Qbank USMLE



Author4 Posts
  #1

A 43-year-old Caucasian male is brought to the emergency room having broken his right hip in a fall down several flights of stairs. The patient is also a known opiate abuser and currently visits a detoxification clinic. He has been on methadone therapy. The detoxification clinic has informed the emergency room that the patient has been compliant with his methadone therapy, with his attendance to the clinic, and his urine samples have been negative for opiates. The patient is in agony with respect to the pain in his hip.

The most appropriate form of pain relief for this patient is


A. Ketorolac intravenously and titrated until pain is controlled

B. Meperidine intramuscularly with an antiemetic

C. Methadone, starting at a higher dose than his current dose from the detoxification clinic

D. Morphine 10 milligrams intravenously and titrate with increasing doses until his pain is controlled

E. No analgesic medications should be given to this patient at this time




___________________
The elevator to succes is broke ,you must take the stairs

  #2

may be DDD

___________________
When going gets tough, the tough gets going

  #3

DDD



  #4

yes DDD-- let him fight his own demons..

what category is ketorolac?

___________________
Smell the coffee! "Is That an Osler move??"







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