ABP Pediatric Palliative Practice Questions - ABP Pediatric Hospice And Palliative Medicine Exam

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A 6-year-old with metastatic osteosarcoma has constant moderate-to-severe bone pain. Per the WHO 2012 pediatric pain ladder (which replaced the 3-step ladder), what is the recommended initial step?

Non-opioid analgesic alone Codeine plus acetaminophen Strong opioid (e.g., morphine) with or without a non-opioid and adjuvant Tramadol monotherapy

Correct Answer:

Strong opioid (e.g., morphine) with or without a non-opioid and adjuvant

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