Q56 :Rheumatology: PLAB/UK(MLA) Exam style question

A 56-year-old construction worker presents to the clinic with pain and stiffness in his right knee. He was diagnosed with knee osteoarthritis a year ago and has been taking regular paracetamol for pain relief. However, the pain has become increasingly difficult to manage and he is finding it harder to perform his daily activities. What would be the most appropriate next step in managing his pain?

A. Switch to co-codamol 8/500

B. Add topical ibuprofen

C. Add oral glucosamine

D. Add oral ibuprofen

E. Add oral diclofenac + lansoprazole

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