________________________________ Chronic Pain Syndromes: Current Concepts and Treatment Strategies
39. Which of the following is NOT a risk factor for the development of postherpetic neuralgia? A) Male sex
45. Diabetic focal neuropathy presents as A) changes in sexual function.
B) autonomic symptoms such as resting tachycardia and sweating. C) sudden-onset pain or loss of motor function involving the head, torso, or leg. D) unilateral pain in the thighs, hips, buttocks, or legs that results in lower extremity weakness. 46. According to the American Academy of Neurology, the first-line pharmacologic approach to the treatment of diabetic neuropathy pain is
B) Depression C) Severe rash D) Immunocompromise
40. The most important strategy for the management of postherpetic neuralgia is A) the incorporation of lifestyle changes. B) early treatment of herpes zoster outbreaks. C) prevention of herpes zoster with the VZV vaccine. D) the use of strong analgesics to prevent breakthrough pain. 41. Among persons with limb amputation, what proportion experience phantom limb pain? A) 6% to 8%
A) TCAs. B) opioids. C) pregabalin. D) venlafaxine ER.
47. What is the only pain therapy for diabetic neuropathy that potentially addresses the underlying pathophysiologic process?
B) 15% to 30% C) 20% to 40% D) 60% to 80%
A) SNRIs B) Insulin C) Capsaicin D) Alpha-lipoic acid (ALA)
42. Mirror therapy consists of
A) using a mirror to perform daily affirmations. B) viewing the reflection of the residual limb while completing exercises with the intact limb. C) viewing the reflection of the intact limb while performing exercises with the amputated limb. D) reprocessing emotional memories via eye movement desensitization and reprocessing techniques.
48. 35. What is the cardinal feature of complex regional pain syndrome (CRPS)? A) Changes in cardiovascular function B) Pain experienced in a part of a limb that has been amputated C) Allodynia and hyperalgesia in the neck region and possibly remote peripheral sites D) Continuous and progressively severe intense pain disproportionate to the severity of theinitial injury
43. To reach efficacy, patients with phantom limb pain may require a daily tramadol dose of
A) 323 mg. B) 523 mg. C) 830 mg. D) 1,000 mg.
49. All of the following are common trophic changes characteristic of CRPS, EXCEPT:
A) Tremor B) Fibrosis C) Osteoporosis D) Abnormal nail growth
44. The most common sites of painful diabetic neuropathy are the
A) neck or trunk. B) hands or arms. C) feet or lower legs. D) back and buttocks.
50. The analgesic of choice for recurrent or treatment- resistant CRPS in the presence of depression and insomnia is A) anticonvulsants.
B) calcium channel blockers. C) systemic or targeted steroids. D) sedative analgesic antidepressants.
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