Question

A 65-year-old woman with osteoarthritis of the knee has been taking paracetamol and topical NSAIDs with inadequate relief. She has no significant comorbidities. What is the next recommended pharmacological option for better pain control?

Accepted Answer

Oral NSAIDs (e.g., ibuprofen) plus a PPI for gastric protection

Answer

Immediate intra-articular steroid injection

Answer

Opioid analgesics (e.g., codeine) as first-line

Answer

Disease-modifying anti-rheumatic drugs

Answer

Acupuncture therapy

Practice question

A 65-year-old woman with osteoarthritis of the knee has been taking paracetamol and topical NSAIDs with inadequate relief. She has no significant comorbidities. What is the next recommended pharmacological option for better pain control?