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10 questions found

A 66-year-old man has had ninety minutes of central chest pain with sweating. His electrocardiogram shows 3 mm ST elevation in leads II, III and aVF with ST dep…

Acute Care · Pre-internship · niche

An 84-year-old woman is on the ward on the evening of the first day after hemiarthroplasty for a fractured neck of femur. She has a morphine patient-controlled…

Acute Care · Clinical rotations · middle twist

A 24-year-old woman is brought in by ambulance after being found unrousable at home. She had swallowed six of her flatmate's morphine tablets, which he takes tw…

Acute Care · Pre-internship · middle twist

A 74-year-old woman is being discharged from the emergency department after a fall at home with an undisplaced pubic ramus fracture on radiography. She can weig…

Acute Care · Pre-internship · middle twist

A 63-year-old man with renal colic is receiving morphine 2.5 mg intravenously every 5 minutes on your instruction. He has now had 12.5 mg and says the pain has…

Acute Care · Pre-internship · middle twist

A 58-year-old man is brought to the emergency department after being found drowsy beside an empty bottle of methadone mixture. He has a respiratory rate of 7/mi…

Emergency and Toxicology · Clinical rotations · common

A 24-year-old man sustains a closed fracture of the midshaft of the left tibia playing football. A plaster backslab with encircling crepe bandage is applied and…

Emergency and Toxicology · Pre-internship · middle twist

A 77-year-old man with metastatic prostate cancer and an estimated glomerular filtration rate of 18 mL/min/1.73 m² has been receiving regular oral morphine. Ove…

Geriatrics and Palliative Care · Pre-internship · middle twist

Which mechanism explains how antidepressants (e.g., amitriptyline, duloxetine) provide pain relief?

Year 4 · Clinical rotations · common

What is the primary mechanism of action of ketamine in pain management?

Year 4 · Clinical rotations · common