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The document contains questions about pain management and pharmacology. It tests knowledge about the WHO analgesic ladder, common opioid side effects like constipation and nausea, characteristics of acute pain like being proportionate to injury and self-limiting, central sensitization mechanisms, nociceptor physiology, true/false statements about acute pain management best practices, neuropathic pain epidemiology, allodynia characteristics, NMDA receptor role in central sensitization, the DN4 neuropathic pain screening tool, and gabapentin's mechanism of action as a calcium channel blocker. Oxycodone is not a first-line treatment for neuropathic pain.

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Komella Prakasam
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47 views3 pages

Quiz

The document contains questions about pain management and pharmacology. It tests knowledge about the WHO analgesic ladder, common opioid side effects like constipation and nausea, characteristics of acute pain like being proportionate to injury and self-limiting, central sensitization mechanisms, nociceptor physiology, true/false statements about acute pain management best practices, neuropathic pain epidemiology, allodynia characteristics, NMDA receptor role in central sensitization, the DN4 neuropathic pain screening tool, and gabapentin's mechanism of action as a calcium channel blocker. Oxycodone is not a first-line treatment for neuropathic pain.

Uploaded by

Komella Prakasam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Which is the gold standard strong opioid of choice prescribed at step 3 of the analgesic ladder?

a.Morphine Sulphate T

b.Methadone

c.Oxycodone

Which of the following treatments are used to manage pain caused by bone metastases?

a.Bisphosphonates T

b.Radiotherapy

c.Amitriptyline

d.Naproxen

How many steps are there on the World Health Organisation Analgesia ladder?

a.2

B.3 T

c.5

Which of the following are common side effect of morphine?

a.Excess hair grwoth

b.Breathlessness

c.Constipation T

d.Nausea T

Acute pain

a.Is usually proportionate to the injury sustained T

b.Is usually self-limiting T

c.Can affect distant organ systems T

d.Is influenced by a patient's psychological state T

Central sensitisation
a.Is not seen in acute pain F

a.Can cause hyperalgesia T

b.Can cause allodynia T

c.Is not reversible F

Nociceptors

a. Are low threshold nerve endings F

b. Can be activated by electrical stimulus T

c. Have a fixed threshold for activation F

d. Contain phospholipase A2 T

Answer the questions true or false:

1. Poor recognition and management of acute pain occurs commonly T

2. Acute pain has no bearing on post-operative complications F

3. Pain increases anabolic hormone production F

4. The severity of acute post-operative pain may has been suggested as a risk factor for the
development of chronic pain T

5. In general, pain causes an increase in parasympathetic nervous activity F


6. Nociception, and a patient’s perception of pain are the same thing F

7. If possible, pain should be assessed with the patient active T

8. Pain should be assessed regularly during treatment T

9. Patient comfort only relates to analgesia F

10. Adverse effects of analgesic drugs need not be monitored during treatment F

11. Intramuscular injection provides reliable drug absorption F

12. Continuous IV opioid infusion carries the highest risk of serious adverse effects T
13. Patient-controlled analgesia devices are only used to deliver opioid medication F
14. Multi-modal analgesia aims to reduce opioid doses and adverse effects T
15. Acute pain service teams have clinical responsibilities only F
1. Which of the following statements is correct?

a. The prevalence of neuropathic pain in general population in Europe is approximately 7-


8%. T

b. Allodynia is an exaggerated pain response to a mildly painful stimulus F

c. N-methyl-D-aspartate (NMDA) receptors play an important role in central sensitization.


T

d. The Douleur Neuropathique en 4 questions (DN4) is a screening tool used for diagnosing
nociceptive pain. F

2. What is the mechanism of action of gabapentin?

a. Calcium channel blocker T

b. Sodium channel blocker

c. Inhibits the re-uptake of both serotonin and nor-adrenaline

d. NMDA antagonist

3. Which of the following drugs is not recommended as a first line treatment

a. Amitriptyline

b. Gabapentin

c. Duloxetine

d. Oxycodone T

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