________________________________ Chronic Pain Syndromes: Current Concepts and Treatment Strategies
F inal E xam
CHRONIC PAIN SYNDROMES: CURRENT CONCEPTS AND TREATMENT STRATEGIES
Select the best answer for each question and mark your answers on page 85. For faster service, complete your test online at BOOK.CME.EDU.
14. Nociceptive pain is
20. The recommended adjuvant analgesic for cancer- related pain attributed to nerve compression or inflammation is
A) a physiologic response to tissue injury. B) the result of central nervous system injury. C) strictly pathologic and has no adaptive function. D) a perception that arises from activation of the immune response. 15. Which of the following is an example of a centralized pain syndrome? A) Cancer pain B) Fibromyalgia C) Postsurgical pain D) Postherpetic neuralgia 16. The most common diagnosis for patients seeking primary care attention for chest pain is A) trauma.
A) duloxetine. B) gabapentin. C) a trial of NSAIDs or corticosteroids. D) a topical agent (e.g., lidocaine patch 5%).
21. For patients with cancer-related pain, cold therapy A) should always be avoided. B) should be avoided in patients with bleeding disorders. C) is recommended for use in those with peripheral vascular disease. D) provides relief for pain related to muscle spasms induced by nerve injury. 22. Among primary care patients with back pain, the most common etiology is A) nonspecific.
B) costochondritis. C) unstable angina. D) musculoskeletal chest pain.
B) herniated disk. C) spinal stenosis. D) ankylosing spondylitis.
17. Which of the following pharmacotherapies is NOT effective for the treatment of acute exacerbations of chronic functional abdominal visceral pain? A) Opioids B) Probiotics C) Tricyclic antidepressants (TCAs) D) Nonsteroidal anti-inflammatory drugs (NSAIDs) 18. In patients with cancer, hepatic distension syndrome is categorized as A) acute treatment-related pain. B) a chronic nociceptive pain syndrome. C) an acute pain syndrome related to bisphosphonate use. D) a chronic pain syndrome resulting from visceral involvement of the neoplasm. 19. The initial treatment of opioid-naïve patients with severe cancer-related pain is A) IV 2–5 mg morphine or equivalent.
23. Which of the following is considered a “red flag” when assessing the patient with chronic low back pain?
A) Prior history of cancer B) Fear avoidance beliefs C) Depression and anxiety D) Reluctance to self-manage
24. Which risk factor is the strongest indicator of poor recovery from whiplash-associated disorders? A) Delayed onset neck pain B) Crash impact at the rear of the vehicle
C) High initial levels of pain and/or disability D) Ability to be ambulatory without interruption
B) IV 0.25–0.5 mg morphine or equivalent. C) 20–50 mg morphine or equivalent orally. D) Either A or C
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