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Cover either pain management, prescribing of controlled substances, mitigating risk or opioid abuse, and legal and ethical considerations regarding pain and controlled substances. You should create one exam style question. You should create a multiple-choice question and provide the answer to the question at the bottom

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Sample Answer

Exam Style Question: Opioid Prescribing and Risk Mitigation

A 50-year-old patient with chronic back pain presents to your clinic with a request for opioid medication. They report that their pain interferes significantly with their daily activities and that over-the-counter pain medication has been ineffective. You are concerned about the potential for opioid abuse, but you also want to manage their pain effectively.

What is the most appropriate course of action in this scenario?

(a) Prescribe a high dose of oxycodone without any additional interventions. (b) Refuse to prescribe any pain medication and recommend alternative therapies. (c) Prescribe the lowest effective dose of oxycodone and implement a comprehensive pain management plan that includes non-opioid medications, physical therapy, and cognitive-behavioral therapy. (d) Refer the patient to a pain specialist without attempting to manage their pain yourself.

Full Answer Section

Answer:

(c) Prescribe the lowest effective dose of oxycodone and implement a comprehensive pain management plan that includes non-opioid medications, physical therapy, and cognitive-behavioral therapy.

This option best balances the need to manage the patient’s pain effectively while mitigating the risk of opioid abuse. It combines medication with non-pharmacological interventions to provide a holistic approach to pain management.

Option (a) is inappropriate as it exposes the patient to unnecessary risk of addiction and overdose without providing sufficient pain relief. Option (b) may be overly restrictive and leave the patient suffering from inadequate pain control. Option (d) could be appropriate if the clinician lacks the expertise to manage complex pain cases, but it would delay treatment and potentially leave the patient with no pain management plan while waiting for a specialist appointment.

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