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Retired NBME 22 Answers

nbme22/Block 2/Question#24 (reveal difficulty score)
A 72-year-old man is given ketorolac for pain ...
Acute renal failure ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—gh889(154)
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Ketorolac is a reversible NSAID given IV, all NSAIDs have a risk of interstitial nephritis, renal ischemia, gastric ulcers, and aplastic anemia.

the best answer is renal failure b/c it is given IV and has less of a chance of causing gastric ulcers

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tiredofstudying  I would also take into account that this patient has had HTN and T2DM for 20 years. His kidneys are probably shot. +5
jackie_chan  @tiredofstudying 100%, thats probably why the mentioned it, if you didn't know wtf ketorolac was (I didnt) but i saw a long 20 year history of HTN, DM I assumed his kidney def could not be fully functional +
faus305  I just ordered sushi from Japan. +1
samhsuy  did it arrive yet, please update +1
steakboy  Any updates on the sushi? +1
kcyanide101  here I was thinking it was a form of Ketamine and choosing disorientation. +1
ninawilson  @kcyanide101 me too!! +



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