Pain: ketorolac contraindications: practice question

A Anaesthesia question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

Anaesthesia · Pain: ketorolac contraindications

Sample item

Which patient should not receive ketorolac for postoperative analgesia?

AA healthy adult after dental extractionBA patient with an eGFR of 25 mL/min and a history of peptic ulcer diseaseCA healthy adult after knee arthroscopyDA patient with osteoarthritis and normal renal function

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. A patient with an eGFR of 25 mL/min and a history of peptic ulcer disease

Ketorolac is a potent non-selective NSAID. It is contraindicated in renal impairment, active or previous peptic ulcer or gastrointestinal bleeding, bleeding risk, and aspirin-sensitive asthma, and its use is limited to about 5 days. Renal and gastric protection depends on prostaglandins that it inhibits.

Option by option

A. A healthy adult after dental extraction
A healthy adult can receive a short course for dental pain.
B. A patient with an eGFR of 25 mL/min and a history of peptic ulcer disease (correct)
Correct. Renal impairment and peptic ulcer history are both contraindications.
C. A healthy adult after knee arthroscopy
A healthy adult can usually receive a short course.
D. A patient with osteoarthritis and normal renal function
Normal renal function and no other contraindication allow short-term use.

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.

Questions about this Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is B, A patient with an eGFR of 25 mL/min and a history of peptic ulcer disease. Ketorolac is a potent non-selective NSAID.

Why is "A healthy adult after dental extraction" not the answer?

A healthy adult can receive a short course for dental pain.

Why is "A healthy adult after knee arthroscopy" not the answer?

A healthy adult can usually receive a short course.

Why is "A patient with osteoarthritis and normal renal function" not the answer?

Normal renal function and no other contraindication allow short-term use.

What concept does this question test?

It tests Pain: ketorolac contraindications in Anaesthesia. It is contraindicated in renal impairment, active or previous peptic ulcer or gastrointestinal bleeding, bleeding risk, and aspirin-sensitive asthma, and its use is limited to about 5 days. Renal and gastric protection depends on prostaglandins that it inhibits.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Pain: ketorolac contraindications?

Make a table of each agent, its key advantage and its main side effect. Then use the flashcards and the other Anaesthesia questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.