Professional and Linguistic Assessments Board (PLAB) Practice Exam

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What is the recommended medication for pain management in renal stones?

  1. Ibuprofen

  2. Diclofenac 75 IM

  3. Aspirin

  4. Acetaminophen

The correct answer is: Diclofenac 75 IM

The recommended medication for pain management in renal stones is Diclofenac 75 IM. Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that is effective in reducing pain and inflammation. In cases of renal stones, where patients often experience intense pain due to renal colic, the rapid pain relief provided by an intramuscular injection of Diclofenac can be particularly beneficial. NSAIDs like Diclofenac work by inhibiting cyclooxygenase enzymes, which play a key role in the production of prostaglandins that mediate pain and inflammation. The IM route allows for a quick onset of action, making it suitable in acute situations where immediate pain relief is necessary. Other options have varying effectiveness and limitations. While Ibuprofen and Acetaminophen are also used for pain management, their oral formulations may not provide the rapid relief needed during severe pain episodes associated with renal stones. Aspirin is generally avoided in scenarios involving renal colic because of its side effects and lower efficacy compared to Diclofenac specifically in this context.