A 33-year-old man with acute ankle sprain requests opioids for pain. He has no red flags, and exam shows swelling and tenderness but intact neurovascu...

Question

A 33-year-old man with acute ankle sprain requests opioids for pain. He has no red flags, and exam shows swelling and tenderness but intact neurovascular status. Best prescribing approach?

Accepted Answer

Recommend NSAIDs/acetaminophen and functional support; avoid initiating opioids

Answer

Start long-acting oxycodone for 5 days

Answer

Prescribe immediate-release opioids at 50 MME/day

Answer

Initiate tramadol PRN and schedule follow-up in 1 month

Answer

Avoid NSAIDs; use opioids due to injury

Acute Pain Management — MRCEM SBA MCQ

A 33-year-old man with acute ankle sprain requests opioids for pain. He has no red flags, and exam shows swelling and tenderness but intact neurovascular status. Best prescribing approach?