Pathology · single question
A patient on radiation therapy for multiple myeloma develops mucositis. Which of the following should you NOT prescribe?
Show answer and explanation
Correct answer: D. Systemic corticosteroids
- A. ❌ Antimicrobial mouthwash (e.g., chlorhexidine) is used to reduce secondary infection in mucositis — this IS appropriate.
- B. ❌ Bland/saline rinses are a first-line comfort measure and appropriate for mucositis.
- C. ❌ Topical anesthetics (e.g., viscous lidocaine) ARE appropriate for mucositis pain management.
- D. ✅ Correct. Systemic corticosteroids should NOT be given to multiple myeloma patients on radiation. They can exacerbate immunosuppression, mask infections, and interfere with oncology protocols.