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NBME 22 Answers

nbme22/Block 4/Question#49 (20.9 difficulty score)
A 52-year-old man with metastatic oat cell ...
Ensure that the patient receives enough medication to control his pain🔍

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submitted by sweetmed(138),
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Teh nipatte si in iechspo cacgdrino to radnCo fshriec eticsh elampx,e a man hwit OCDP ni scepiho cna be gnevi gihh eods opsieat even hhgtuo three is a sirk of eaipryrotrs rndoisepse beucesa eth ittenn ot rleevei rfengsiuf si teh gtisheh oy.itrirp

submitted by miriamp3(3),

I wasn't sure, but then I realize he is going to die, he is in a hospice + the best you can do is made him feel without pain. BUT at the end what made me decide was The reason of the medication. At this point you really don't care about controlling everything else.

submitted by dr.xx(143),
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aoiiMencdt odsgsea ushdlo be tidaertt mptoylpr to hveaice eeffevict pain r.olonct


submitted by syoung07(21),

In FA it is stated that "During end-of-life care, priority is given to improving the patient’s comfort and relieving pain (often includes opioid, sedative, or anxiolytic medications). Facilitating comfort is prioritized over potential side effects (eg, respiratory depression). This prioritization of positive effects over negative effects is known as the principle of double effect.