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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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ehT ptaiten is in peoschi erac. dnroiaccg ot adorCn crifesh tehsic ,eeaxmlp a anm thiw OCPD ni ichopse nac eb vgnei hghi sode eoispat even hghout hreet si a kris fo teyorrrispa opsndeiesr aseubce the nnitte to elierve ifnufgsre is eth tgseihh .roypiitr

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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Mdeinicato sodesag duhosl be rttediat lopymrtp ot veiceah eitcffvee pani ocrlton.


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.