A 76-year-old woman with osteoarthritis knee pain despite regular paracetamol seeks stronger analgesia. No peptic ulcer disease; eGFR 70. Best next st...

Question

A 76-year-old woman with osteoarthritis knee pain despite regular paracetamol seeks stronger analgesia. No peptic ulcer disease; eGFR 70. Best next step?

Accepted Answer

Topical NSAID

Answer

Oral diclofenac without gastroprotection

Answer

Tramadol

Answer

Intra-articular steroid immediately

Answer

Glucosamine supplements

mrcgp akt MCQ (SBA): Osteoarthritis knee

A 76-year-old woman with osteoarthritis knee pain despite regular paracetamol seeks stronger analgesia. No peptic ulcer disease; eGFR 70. Best next step?