A 67-year-old man presents after a fall with a displaced intracapsular neck of femur fracture. He is in severe pain despite intravenous Morphine. Whic...

Question

A 67-year-old man presents after a fall with a displaced intracapsular neck of femur fracture. He is in severe pain despite intravenous Morphine. Which analgesic strategy is most appropriate to improve his pain control while waiting for surgery?

Accepted Answer

Perform a femoral nerve block with local anaesthetic

Answer

Increase intravenous Morphine dose only

Answer

Offer spinal anaesthesia immediately in the emergency department

Answer

Give oral Paracetamol only

Answer

Avoid further analgesia until orthopaedic review

uk-plab-1 MCQ (SBA): Neck of femur fracture analgesia

A 67-year-old man presents after a fall with a displaced intracapsular neck of femur fracture. He is in severe pain despite intravenous Morphine. Which analgesic strategy is most appropriate to improve his pain control while waiting for surgery?