MRCP Part 2 Written Question of the Day

Test your knowledge with today's Question of the Day which features themes similar to the December 2014 MRCP Part 2 Written exam.

A 78-year-old lady with metastatic lung cancer is admitted with upper back pain.

It radiates round her chest 'like a band'. She is struggling to mobilise due to the pain. Neurological examination is normal and she has no bladder and bowel disturbance. She is awaiting an MRI spine to determine whether this is thoracic spinal cord compression.

Her current medication includes paracetamol 1 g qid and senna 2 tabs od.

Whilst waiting for the MRI what medication should be started?

(Please select 1 option)

Amitriptyline 10 mg od
Co-codamol 30/500 2 tabs qid
Co-codamol 30/500 2 tabs qid and dexamethasone 4 mg od
Dexamethasone 16 mg od and omeprazole 20 mg od
Ibuprofen 400 mg tid and omeprazole 20 mg od

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