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Management of Acute Stone Episodes

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Questions and Answers

Which statement is true regarding the management of pain associated with acute stone episodes?

Opiates should be used as first-line agents regardless of pain severity.

NSAIDs and opiates should be avoided in all patients due to potential contraindications.

Analgesics have been shown to hasten the passage of stones.

The choice of analgesic should be based on the severity of pain and potential side effects. (correct)

Which of the following statements about pain management in acute stone episodes is incorrect?

Topical NSAIDs like diclofenac gel can provide pain relief for renal colic.

Lower potency opiates like hydrocodone or codeine can be used initially for pain relief.

Opiates should be used cautiously in patients with a history of substance abuse.

High potency opiates like oxycodone or morphine should be used as first-line agents. (correct)

Which of the following is an appropriate first-line analgesic for mild to moderate pain associated with acute stone episodes?

Oral oxycodone

Oral hydrocodone

Intramuscular ketorolac (correct)

Oral morphine

Which of the following statements about the use of NSAIDs and opiates in acute stone episodes is correct?

Patients should avoid NSAIDs and opiates if they have contraindications or are taking them for other medical reasons. Signup and view all the answers

Which of the following statements about the use of analgesics in acute stone episodes is correct?

Oral steroids have been shown to be effective in alleviating pain and reducing the need for further analgesia. Signup and view all the answers

Which of the following statements about the differential diagnosis of acute stone episodes is correct?

A differential diagnosis is necessary to rule out other causes and prescribe appropriate analgesics. Signup and view all the answers

What is the purpose of intranasal fentanyl in prehospital settings?

To provide faster pain relief Signup and view all the answers

Why is a combination of NSAID and opioid therapy reserved for certain patients?

To manage severe pain Signup and view all the answers

What is a common symptom experienced by patients with acute renal colic?

Nausea and vomiting Signup and view all the answers

What is a concern associated with the use of antibiotics to treat urinary stones?

New stone formation due to crystalluria Signup and view all the answers

Which drug has proven efficacy in treating distal ureteric stones with low side effects?

Tamsulosin Signup and view all the answers

What is the main reason for the controversy surrounding the use of calcium channel blockers for MET?

Conflicting study results Signup and view all the answers