Sun21November0735PM 7

A 45-year-old with known prostate cancer presents with bilateral leg weakness. Malignant Spinal Cord Compression(MSCC) is confirmed and you are asked to prescribe 10 mg of Dexamethasone by the registrar.

The patient states that she has had a previous bad reaction to dexamethasone.

What is the equivalent dose of prednisolone?

(Please select 1 option)

70 mg This is the correct answer

60 mg

50 mg

40 mg Incorrect answer selected

30 mg

Explanation

MSCC is a medical emergency and urgent steroid treatment is key, prior to any imaging.

Dexamethasone is primarily used in MSCC, however, this is not appropriate here. The conversion of dexamethasone to prednisolone is done by multiplying by 7.

All other answers are incorrect conversions.

Answer Statistics

1

17%

2

34%

3

19%

4

24%

5

9%

Times answered: 260