Dental OSCE (Objective Structured Clinical Examination) Practice Exam

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What analgesic is typically recommended for kidney failure and stomach ulcers?

Ibuprofen
Acetaminophen
Aspirin
Naproxen

The correct answer is: Acetaminophen

Acetaminophen is often the recommended analgesic for patients with kidney failure and stomach ulcers due to its safety profile in these specific conditions. Unlike nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, aspirin, and naproxen, acetaminophen does not have the same gastrointestinal side effects and is not associated with renal impairment, making it a safer choice for these individuals. In patients with stomach ulcers, NSAIDs can exacerbate the condition by irritating the gastric mucosa, leading to further complications. For kidney function, acetaminophen does not interfere with renal function in the same way that NSAIDs do, which can worsen kidney health. Therefore, acetaminophen stands out as a more suitable analgesic in scenarios involving both kidney issues and ulcers, providing effective pain relief while minimizing the risk of further gastrointestinal and renal complications.