🏥 USMLE Exam Prep

A 68-year-old woman with metastatic lung cancer reports severe dyspnea at rest, despite supplemental oxygen. Her pain is well-controlled. What is the most appropriate pharmacologic intervention to address her dyspnea?

A Increase supplemental oxygen flow rate.
B Administer a low-dose opioid (e.g., morphine).
C Prescribe a nebulized bronchodilator.
D Initiate a benzodiazepine for anxiety relief.

✓ Correct Answer: Option B

Low-dose opioids are the first-line pharmacologic treatment for refractory dyspnea in palliative care, even without pain, as they reduce the perception of breathlessness by acting on central respiratory centers.

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