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Management of Acute Stone Episodes

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12 Questions

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

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

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

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

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

Intramuscular ketorolac

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.

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.

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.

What is the purpose of intranasal fentanyl in prehospital settings?

To provide faster pain relief

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

To manage severe pain

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

Nausea and vomiting

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

New stone formation due to crystalluria

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

Tamsulosin

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

Conflicting study results

Learn about the management of acute stone episodes, including differential diagnosis, appropriate analgesics, and the use of non-steroidal anti-inflammatory drugs and opiates. Understand the caution needed when using opiates, especially in patients with a history of substance abuse.

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