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MMLU-Pro / 6564 / After being severely beaten and sustaining a gunshot wound to the abdomen, a…

Problem

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question

After being severely beaten and sustaining a gunshot wound to the abdomen, a 42-year-old woman undergoes resection of a perforated small bowel. During the operation, plastic reconstruction of facial fractures, and open reduction and internal fixation of the left femur are also done. Thirty-six hours postoperatively, she is awake but not completely alert. She is receiving intravenous morphine via a patient-controlled pump. She says that she needs the morphine to treat her pain, but she is worried that she is becoming addicted. She has no history of substance use disorder. She drinks one to two glasses of wine weekly. Which of the following initial actions by the physician is most appropriate?

category

health

options

  1. Encourage the patient to endure the pain without medication to prevent addiction
  2. Reassure the patient that her chance of becoming addicted to narcotics is minuscule
  3. Administer methadone as an alternative to morphine
  4. Increase the dose of morphine to relieve her anxiety
  5. Suggest biofeedback therapy to control pain
  6. Switch the patient to oral acetaminophen as soon as she can take medication orally
  7. Maintain the morphine, but periodically administer intravenous naloxone
  8. Recommend a consultation with a psychiatrist to address her fears of addiction
  9. Switch the patient to intramuscular lorazepam
  10. Advise her to drink more wine to help with the pain

src

ori_mmlu-professional_medicine

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Source and history

upstream_id / Original problem ID
6564
task_id
c6989e00-ba57-5a1f-a0ec-9ec904e31224
task_key
default--test--6564
task_revision_id
1
config / split
default / test

Official source

initial import