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Anaesthesia · Special populations and acute pain: curriculum recognition
Sample itemA surgical ward audit asks how pain should be recorded after laparotomy so that staff can judge whether the patient can breathe deeply and mobilise. Which record is most appropriate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Regular scores taken both at rest and on movement or coughing
Pain scores should be taken at regular intervals and include dynamic pain on coughing or movement, because adequate analgesia is judged by function rather than comfort at rest. Scores before and after an intervention show whether treatment works. A sedation score is a safety check for opioids, not a replacement for pain assessment.
Option by option
A. A score recorded only when the patient asks for analgesia
Scoring only on request misses patients who do not complain.
B. Regular scores taken both at rest and on movement or coughing (correct)
Correct. Regular resting and dynamic scores show whether the patient can cough and mobilise.
C. A sedation score recorded in place of any pain score
A sedation score monitors opioid safety and tells nothing about pain intensity.
D. A single score taken when the patient is discharged
One score at discharge cannot guide treatment during the stay.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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