KROK 1 2019 – Question 164 · KROK (Medicine) · Pharmacology
A 46-year-old man presents with fatigue and joint pain in his fingers and wrists for the last 2 months. The pain is present in both hands and the wrists are swollen. Furthermore, he describes morning stiffness in his joints lasting about 2 hours, which improves with use. His past medical history reveals he has been successfully treated for H. pylori related ulcers last year. He denies smoking and stopped drinking when his gastric symptoms started. Which of the following drugs is the best choice for his joints’ pain management?
- A. Prednisone
- B. Celecoxib
- C. Morphine
- D. Aspirin
- E. Paracetamol
Hint
Balance the need for an anti-inflammatory effect in a patient with swollen joints and prolonged morning stiffness against the risk of reactivating his earlier stomach problem.
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