B6-017 Pain Management

Question 1

migraines, TMJ, fibromyalgia, IBS are examples of […] pain

Answer 1

centralized

Question 2

amplification of nervous system pain

Answer 2

centralized

Question 3

widespread pain
pain to non-painful stimuli
normal imaging and labs

Answer 3

centralized pain

Question 4

pain that follows a distinct distribution based on injury

Answer 4

neuropathic

Question 5

patient reports pain in dermatomal distributions

Answer 5

neuropathic

Question 6

pain due to inflammation

Answer 6

nociceptive

Question 7

osteoarthritis causes […] pain

Answer 7

nociceptive

Question 8

can cause seizure, especially when coupled with anti-depressants or muscle relaxants

Answer 8

tramadol

Question 9

weak mu agonist and serotonin reuptake inhibitor

Answer 9

tramadol

Question 10

helps to address pain via cognitive and behavioral interventions

Answer 10

pain psychology

Question 11

first line non-pharmacologic agent used to help pain and improve physical function

Answer 11

physical therapy

Question 12

resolves with effective analgesic therapy and patient was not seeking care for ineffective pain relief

Answer 12

pseudoaddiction

Question 13

respiratory depression, sedation, hypotension, bradycardia

Answer 13

overdose

Question 14

physiologic state resulting from regular use of a drug in which an increased dosage is needed to provide relief

Answer 14

tolerance

Question 15

state of adaptation manifested by drug signs and symptoms that can be produced by abrupt cessation, dose reduction, or antagonist administration

Answer 15

physical dependence

Question 16

psychiatric disorder where use of a substance is characterized by loss of control, compulsive use, preoccupation, and continued use despite harm

Answer 16

addiction

Question 17

pain that follows a distinct distribution

Answer 17

neuropathic

Question 18

potential for respiratory depression and dose-related constipation are side effects of

Answer 18

opioids

Question 19

important components of the physical exam for chronic pain [6]

Answer 19

muscle strength
sensory abnormalities
reflexes
coordination
gait
cranial nerve testing

Question 20

is imaging necessary for the workup of pain?

Answer 20

no

imaging is often over ordered and does not necessarily correlate to pain

Question 21

what type of study may be useful in the evaluation of the peripheral nervous system to guide prognosis/treatment?

Answer 21

EMG

Question 22

most research [does/does not] support the use of opioids for chronic non-cancer pain

Answer 22

does not

Question 23

poor drug metabolizers can accumulate what opioid?

Answer 23

hydrocodone

Question 24

contraindicated in patients <18 due to respiratory depression/death

Answer 24

codeine

Question 25

opioid that can lower the seizure threshold

Answer 25

tramadol

Question 26

stronger mu opioid agonist and NE reuptake inhibitor can increase serotonin levels

Answer 26

tapentadol

Question 27

resolves with effective analgesic therapy

Answer 27

pseudoaddiction

Question 28

treatment for opioid overdose

Answer 28

naloxone

Question 29

osteoarthritis autoimmune disorders cancer cause [...] pain

Answer 29

nociceptive

Question 30

diabetic neuropathy post-herpetic neuralgia sciatica carpal tunnel cause [...] pain

Answer 30

neuropathic

Question 31

pain due to inflammation or damage

Answer 31

nociceptive

Question 32

pain due to nerve damage/entrapment

Answer 32

neuropathic

Question 33

pain due to CNS or systemic problem

Answer 33

centralized

Question 34

pain is well-localized, consistent effect of activity on pain

Answer 34

nociceptive

Question 35

follows nerve distribution/dermatome

Answer 35

neuropathic

Question 36

episodic lancinating (stabbing) numbness tingling described [...] pain

Answer 36

neuropathic

Question 37

pain is widespread and accompanied by fatigue, sleep/memory/mood difficulties

Answer 37

centralized

Question 38

fibromyalgia functional GI disorders TMJ tension headache intersitial cystitis, bladder pain syndrome examples of [...] pain

Answer 38

centralized

Question 39

considered first line pharmacotherapy for neuropathic pain

Answer 39

gabapentinoids

Question 40

best initial conservative treatment of pain helps reduce pain and improve function

Answer 40

physical therapy

Question 41

can help to increase perception of control and self-efficacy in pain disorders increases good health behaviors like sleep, exercise, appropriate med use

Answer 41

pain psychology

Question 42

acupuncture and tai chi are examples of

Answer 42

complementary alternative medicine