Quiz: 11-Pain management

1- The drug for OPD analgesia is

A a) Morphine B b) Pethidine C d)Alfentanil D c) Fentanyl

2- Allodynia is defined as

A a) Spontaneous pain in an area or region that is anesthЕТic B b) Pain initiated or caused by a primary lesion or dysfunction in the nervous system C c) An unpleasant abnormal sensation, whЕТher spontaneous or evoked D d) Pain caused by a stimulus that does not normally provoke pain.

3- At what time frame following the postsurgical period does persistent postsurgical pain become defined as being" chronic pain"?

A a) 1 to 2 weeks B b) 3 to 4 weeks C c)1 to 2 months D d) 6 to 12 months

4- Type ( s) of symptomatic pain conditions that best describes" chronic" pain often includes

A a) Neuropathic pain alone B b) Nociceptive pain alone C c) Neuropathic or nociceptive pain D d) Somatic or visceral pain

5. Which intravenous opioid is commonly used for postoperative pain management?

A a) Methadone B b) Oxycodone C c) Meperidine D d) hydromorphone

6- Management of chronic pain include all the following except:

A a) Intrathecal hyperbaric phenol B b) Antrolateral cordotomy C c) Epidural fentany D d) Patient controlled analgesia ( PCA).

7- Nociceptive pain is a type of:

A a)Acute intractable pain B b) Chronic intractable pain C c) Bursting headache D d) Ischemic cardiac pain

8. Which of the following conditions is more likely to be associated with neuropathicpain?

A a) Traumatic nerve injury B b) Stroke C c) Syringomyelia D d) Multiple sclerosis

9- The benzodiazepine which is used to treat various neuropathic pain syndromes is

A a) Diazepam B b) Clonazepam C c) Flunazepam D d) Lorazepam

10- In all chronic pain there are problems in the nervous system except

A a) CRPS B b) Fibromyalgia C c) Migraine D d)Rheumatoid arthritis

11- The most essential step in providing pain management for an individual is a:

A a)Comprehensive pain assessment B b) Familiarity with prescription medications often used for pain control. C c) Comprehensive health history D d) Written plan for care.

12- A comprehensive pain assessment includes:

A a) Type of pain. B b) Duration of pain. C c) Past and current medications D d..All of the above.

13- Which of the following are potential barriers

A a)Language and culture. B b) Site and duration of pain. C c) Diet and exercise D d) Patient education

14- Minimally invasive pain treatment principles

A a) To start as soon as possible for the treatment chronic pain B b) For replacement any surgery C c)To perform in specially equipped appropriate rooms under visual control D d) This treatment includes only simple muscle triger

15- Postoperative analgesia principles

A a) Pain intensity measurement only after surgery B b) Regional anesthesia techniques preferred in relation to the systemic C c) Mandatory use of opioids after surgery D d) Mandatory IV non- steroidal anti- inflammatory agent 20 minutes before the end of the operation.

17- Dysfunctional/ disabling kind of pain is ( select one correct answer)

A a) Nociceptive B b) Neuropathic C c) Oncological D d)Psychogenic

18- Biophysical role of pain ( select one correct answer)

A a) Pain always is symptom of disease B b) Pain is function of cerebral cortex C c) Pain is result of individual emotional problems D d) Pain is physical symptom what causes suffering

19- Visceral pain is ( select one correct answer)

A a) Well located B b) Of certain intensity C c)vague D d) Like neuropathic pain

20- Anti- nociceptive substances involved in pain modulation:

A a) Glutamate B b) NO ( Nitric oxide) C c) Endorphins D d) P substance

21- Origin of pain should be all except:

A a) Instrumental investigations and manipulations B b) Visual diagnostic manipulations C e) Therapeutic manipulations D d) Internal diseases.

22- At what time frame following the postsurgical period does persistent postsurgical pain become defined as

A a) 1 to 2 weeks B b) 3 to 4 weeks C c)1 to 2 months D d) 6 to 12 months

23- Regarding the treatment of neuropathic pain, the correct statement is

A a) Narcotics is the most effective and" first- line" treatment option B b) It is most optimally treated with multimodal C c) SympathЕТic blockade will eliminate all neuropathic pain D d) Spinal cord stimulator is not an effective therapy

34- End results of the surgical stress response include all of the following EXCEPT

A a) hyperglycemia B b) Poor wound healing C c) Positive nitrogen balance D d) Impaired immunocompetence

25- The circulating levels of which of the following hormones is not increased postoperatively:

A a)Insulin B b) Glucagon C c) Antidiuretic hormone D d) Growth hormone

26- Which of the following is the EARLIEST sign of lidocaine toxicity from a high blood level?

A a) Shivering B b) Nystagmus C c)Lightheadedness and dizziness D d) Tonic- clonic seizures

27- What is the WhO guideline for post- operative analgesia?

A a)Oral medications B b) Transdermal medication C c) Prescribe analgesia PRN D d) Start with higher dose of analgesia

28- When compared with intra- muscular or subcutaneous opioid regimens, patient controlled analgesia ( PCA) with opioids.

A a) is equally preferred by patients. B B)provides better analgesia C c) results in less opioid- related adverse effects D d) results in lower opioid consumption

29- Pain associated with injury or disease is known as

A a)Acute B b) Chronic C c) Cancer D d) Visceral.

30- The most validated pain intensity scale is known as the

A Visual analogue scale B b) Faces scale C c) Visual rating scale D d) ChEEPS

31- Opioid treatment fits best on which step of the

A a) Step one B b) step two. C c) step three D d) step four

16- Pain syndrome in cancer is ( select one correct answer):

A a) Neuropathic B b) Somatic C c) Visceral D d)Can be all the mentioned above

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