ALTERNATIVES TO OPIOIDS FOR PAIN MANAGEMENT
Choose the best possible answer for each question and mark your answers on the self-assessment answer sheet at the end of this book. There is a required score of 70% or better to receive a certificate of completion.
1. Which of the following statements is true about a functional approach to treating painful conditions? A. An example of a function-based treatment goal is a 20% reduction in reported pain on a 1-10 pain assessment scale. B. Progress toward function-based goals can be monitored using a variety of pain-assessment scales. C. Relatively modest reductions in pain can lead to significant functional improvements. D. The goal of a function-based treatment plan is for the patient to report no pain on pain assessment scales. 2. One guiding principle of creating function-based goals is: A. Set goals based on consensus recommendations from professional organizations. B. Choose goals that all patients could realistically be expected to achieve eventually, such as walking for 30 minutes a day. C. Goals should be framed in terms of percentage gains or reductions on pain assessment scales. D. It is better to set goals slightly too low than slightly too high. 3. Which of the following is not an example of multimodal therapy for acute pain? A. Systemic NSAID plus systemic opioid. B. Epidural opioid plus local anesthetic. C. Immediate-release opioid plus extended-release opioid. D. Acetaminophen plus opioid. 4. Which statement is true about a general approach to initiating any kind of treatment for a painful condition? A. Begin treatment with the analgesic whose strength is best matched to the patient’s reported pain intensity. B. It is acceptable to begin pain treatment before the source is determined. C. Create function-based treatment plans for all patients with a painful condition. D. Use signed patient/clinician agreements with all patients treated for a chronic pain condition.
5. Non-pharmacologic methods for treating acute pain are appropriate for which phase of healing? A. Immediately after tissue trauma. B. > 48 hours after tissue trauma. C. Late healing phase for recovery of function. D. Immediately after tissue trauma as well as in late healing phase. 6. Which class of non-opioid medications can be effective for treating diabetes-related neuropathic pain? A. Anticonvulsants. B. NSAIDs. C. Cannabinoids. D. Calcium channel blockers. 7. Which non-opioid drug, or drug class, has shown efficacy in the treatment of acute pain associated with sickle cell crises, renal colic, and trauma? A. Cannabis. B. NSAIDs. C. Ketamine. D. Anticonvulsants. 8. Which of the following types of antidepressants may be effective for treating chronic non-cancer pain? A. SSRIs. B. Serotonin/norepinephrine inhibitors. C. Tricyclics. D. SSRIs, SNRIs, and tricyclics. 9. Which phrase best characterizes the evidence base for acupuncture as a pain treatment for hip osteoarthritis? A. Mostly supportive evidence. B. Mixed evidence. C. Mostly disconfirming evidence. D. Evidence only from observational studies. 10. Current guidelines for treating chronic low back pain recommend: A. Match the strength of an analgesic to the level of pain reported by the patient. B. Try exercise and weight loss first, followed by physical therapy or a non-opioid pharmacological analgesic. C. Try nonpharmacological options first, followed by treatment with an NSAID. D. Try a combination of an NSAID and acetaminophen first, followed by muscle relaxants.
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