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Edit View History Bookmarks Profiles Tab Window Help toheij@ce X (N NEJM Group Cont X ASAM Member P X RT $ 7 Q 8 0 Wed Jut 16 6:46 PM ASAM elearning: x | Member Portal x X Inbox = Mail = Qder X NNEJM Group X + painmanagementcme.nejm.org/learner.html?s=yY3aklWZ091NzQzXadEUUBTNthHahlXc#home/topiccard=50572896 PROGRESS: Pain Manage 5 / 63 A VICTORIA ODOH VO agement/Opioids tion 5 of 8 A 72-year-old man presents for evaluation of right-knee pain that started 8 Which one of the following treatment options is most appropriate for this months ago but has worsened during the past month. Over-the-counter patient? acetaminophen, topical diclofenac, knee bracing, and physical therapy have not been effective. The patient has a history of coronary artery disease (with a drug-eluting stent CHOOSE THE CORRECT ANSWER placed 2 months ago after he presented with a non-ST elevation myocardial infarction), hypertension, heart failure with preserved left ventricular ejection Ibuprofen BBC fraction, stage 4 chronic kidney disease, and hypothyroidism. Examination of the right knee reveals pain with range of motion, crepitus, and Referral for total knee replacement absence of warmth or knee effusion. Colchicine BBE Radiographs of the right knee reveal mild-to-moderate joint-space narrowing, subchondral sclerosis, and marginal osteophytes. BBC Extended-release oxycodone BBC Intra-articular glucocorticoid injection NO IDEA KNOW IT THINK SO UNSURE Privacy Security