Q:

A 65 year old has terminal cancer and his pain is relieved by a fentanyl patch but he now complains of shooting pain in his arm. Which of the following will add to his pain relief?

waelhammad
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2022-11-05
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A 65 year old has terminal cancer and his pain is relieved by a fentanyl patch but he now complains of shooting pain in his arm. Which of the following will add to his pain relief?

  1. Gabapentin
  2. Radiotherapy
  3. Amitryptiline
  4. Morphine
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waelhammad
2022-11-05
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The key is A. Gabapentin. [Shooting in the arm indicates neuropathic pain for which both amytriptiline and gabapentin can be used].

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