MRCP UK EXAMINATIONS

CLINICAL ENCOUNTERS

ANKYLOSING SPONDYLITIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
What is the preferred NSAID for the treatment of Ankylosing Spondylitis?
A
Ibuprofen
B
Naproxen
C
Dicoflenac
D
Indomethcladone
E
There is no preferred NSAID
Explanation: 

Detailed explanation-1: -NSAIDs reduce inflammation and accompanying pain. Those used to treat ankylosing spondylitis include: Indomethacin (Indocin) Ibuprofen (Motrin, Advil)

Detailed explanation-2: -Common alternatives to NSAIDs include arnica, curcumin, and bromelain. Topical pain reliers-like capsaicin cream-may also help to provide relief.

Detailed explanation-3: -If additional NSAID therapy is required, naproxen is the preferred NSAID. Naproxen should be taken 2 hours after aspirin. COX-2: COX-2 selective NSAID.

Detailed explanation-4: -The chance of getting an ulcer or stomach bleeding rises even more if you also take corticosteroids (often called “steroids") for RA or blood thinners, or anticoagulants. Also, the longer you use NSAIDs, the greater the risk of stomach bleeding and ulcers.

Detailed explanation-5: -Physiotherapy and exercise. Keeping active can improve your posture and range of spinal movement, along with preventing your spine becoming stiff and painful. Painkillers. Biological treatments. JAK inhibitors. Corticosteroids. Disease-modifying anti-rheumatic drugs (DMARDs) Surgery. Follow-up.

There is 1 question to complete.