A 60-year-old woman with a history of breast cancer, treated with surgery and radiation 5 years ago, presents with new-onset back pain. Imaging reveals lytic lesions in the spine. What is the most likely diagnosis?
A. Multiple myeloma
B. Degenerative disc disease
C. Spinal tuberculosis
D. Metastatic breast cancer
E. Osteoporosis
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A 55-year-old man with prostate cancer and bony metastases is experiencing severe pain and is not responding to strong analgesia. He is reluctant to use NSAIDs. What is the next step?
A. Fentanyl patch
B. Buprenorphine patch
C. Oral oxycodone CR.
D. Oral IR morphine.
E. SC morphine.
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