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Chapter 49 Osteoarthritis Sample Questions

1. A 65 year old lady brings in a prescription of Tylenol # 3 PRN. She is taking Acetyl salicylic acid (ASA) 325 mg every 4 hours for osteoarthritis pain but with no relief. What would you counsel about her medications?
  1. A. Give her Tylenol # 3 regularly for 1 to 2 weeks.
  2. B. Continue ASA daily and take Tylenol # 3 PRN Q6 hours for 1 to 2 wk.
  3. C. Tylenol #3 may cause addiction.
  4. D. Discontinue ASA and continue Tylenol # 3.
Answer
Ans: D
Tips: Generally ASA is not recommended for the management osteoarthritis while ASA is an effective anti-inflammatory and may have a role in rheumatoid arthritis. The ASA role in osteoarthritis management is limited. OA is not associated with significant inflammation and ASA may have unacceptable risk with long term use particularly in older patients. Current guideline by American College of Rheumatology do NOT recommend ASA for OA.
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