Pain control (523/1700)

A man was operated for colorectal ca. His pain is relieved with morphine 60mg bd PO but now
he can’t swallow medications. What will be the next regimen of analgesic administration?
a. Oxycodone
b. Fentanyl patch
c. Morphine 60mg IV/d
d. Morphine 240mg IV/d

Pain not relieved by morphine (1024/1700)

48yo pt after surgical removal of mandibular ca presents with perioral paresthesia and severe
pain which is not relieved by oral morphine. What is the next step in treating this pt?
a. Oral amitryptiline
b. Oral oxycodone
c. PCA
d. IV morphine
e. Fentanyl patch
f. Gabapentine

Post operative pain (104/1700)

A 50yo man has had anterior resection of the rectum for carcinoma. He expressed concerns
about control of post-op pain in discussions with the anaesthetist before surgery. What is the
best management strategy?
a. Oral diclofenac
b. Oral codeine
c. IM morphine
d. IM dihydrocodeine
e. Ondansetron oral

Switching oral morphine (66/1700)

A 56yo pt whose pain was relieved by oral Morphine, now presents with progressively
worsening pain relieved by increasing the dose of oral morphine. However, the pt complains
that the increased morphine makes him drowsy and his is unable to carry out his daily activities.
What is the next step in his management?

a. Oral oxycodone
b. Oral tramadol
c. PCA
d. IV Fentanyl
e. Diamorphine

Morphine pain relief (23/1700)

A pt who was previously on 120mg slow release oral morphine has had his dose increased to
200mg. He is still in significant pain. He complains of drowsiness and constipation. What is the
next step in the management?
a. Increase slow release morphine dose
b. Fentanyl patch
c. Replace morphine with oral hydromorphone
d. Replace morphine with oxycodone
e. Subcutaneous morphine