Chronic Pain Syndromes: Current Concepts and Treatment Strategies _ _______________________________
25. The increase in cytokine release that accompanies joint inflammation and pathologic structural changes characteristic of osteoarthritis results in A) bone marrow lesions.
32. If migraine symptoms persist for more than 72 hours, the treatment of choice is A) triptans. B) prochlorperazine. C) over-the-counter NSAIDs. D) dihydroergotamine mesylate (DHE).
B) peripheral sensitization. C) bilateral pain distribution. D) pain with unusual movements.
33. Tension-type headaches that occur on 14 days per month are classified as
26. Which of the following approaches to the initial management of knee osteoarthritis has the strongest recommendation for use? A) Tai chi B) Oral NSAIDs C) Exercise D) Intra-articular corticosteroid injections
A) chronic. B) episodic.
C) infrequent chronic. D) infrequent episodic.
34. In patients with endometriosis, the usual endometrial responsiveness to progesterone is A) blunted.
27. Which of the following is NOT one of the possible courses of rheumatoid arthritis?
B) heightened. C) unchanged. D) highly variable.
A) Polycyclic B) Regressive C) Progressive D) Monocyclic
35. Which of the following statements regarding the treatment of endometriosis is TRUE? A) Danazol is the first-line agent of choice. B) Opioids should be considered first for severe pain. C) First-line pharmacotherapy includes the use of NSAIDs. D) Laparoscopic surgical removal of ectopic endometrial tissue should be avoided, if possible. 36. Sickle cell disease is found predominantly in persons of A) African descent.
28. For patients with early rheumatoid arthritis (less than six months in duration), first-line therapy is
A) corticosteroids. B) oral DMARDs. C) topical capsaicin. D) biologic DMARDs.
29. Dietary modification involved in the treatment of gout should include avoidance of A) vegetables. B) organ meats. C) non-fat dairy products. D) All of the above 30. Urate-lowering therapy should be initiated in patients with gout and A) one or more tophi. B) no history of urolithiasis.
B) Saudi Arabian descent. C) Mediterranean descent. D) Northern European descent.
37. During the prodromal phase of an acute sickle cell disease attack, what symptoms are present? A) Lethargy and mild localized pain B) Hyperactivity and moderate pain C) Moderate pain, alterations in mood, and decreased hemoglobin D) Severe pain and laboratory changes, including dramatically increased C-reactive protein levels 38. What pharmacologic option is most often used for prevention of acute pain episodes in patients with sickle cell disease? A) Morphine B) Hydroxyurea
C) stage 1 chronic kidney disease. D) fewer than two attacks per year.
31. After 15 years of suffering migraines, approximately what percentage of women no longer have migraine attacks?
A) 22% B) 30% C) 40% D) 63%
C) Hydromorphone D) Blood transfusion
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