Pain Management
Self-Study Examination
Instructions: After studying the text answer the following true/false or multiple choice questions. Remember, there's only one answer to each question.
a) A-delta fibers b) Substance P c) Endorphins d) Enkephalins
a) It is always caused by tissue injury. b) Pain recognition occurs in the Thalamus. c) A reflex arc refers to the moment when pain is perceived in the cerebral cortex. d) The Gate Control Theory was first described by Melzack.
a) Gate Control Theory b) General Adaptation Syndrome c) Local Adaptation Syndrome d) Specificity Theory
a) Chronic benign pain b) Chronic malignant pain c) Acute pain d) All of the above
a) Oral b) Intramuscular c) Intravenous d) Intraspinal
a) Pain is a normal finding in the elderly population. b) Infants feel pain. c) Placebos can be used to distinguish between physical and psychological pain. d) The longer a person experiences pain, the less the perceived distress.
a) Less than 1 % b) 5% c) 10% d) 15%
a) Vital Signs b) Sleeping c) Self-report d) Type of procedure or injury
He is diaphoretic and restless. His vital signs are BP 180/90, HR 100, RR24. He states that his pain is an 8 on a scale of 0-10.
a) Give another 5 mg of Morphine IM. b) Change to Demerol and give 50 mg IM. c) Encourage him to wait another hour, as it takes that long for morphine to work. d) Give 10 mg of Morphine IM.
a) Torodol b) Demerol c) Morphine d) Motrin
a) Acute Pain b) Chronic Pain c) Chronic Malignant Pain d) Referred pain
a) Depression b) Immobility c) Both a and b d) Neither a nor b
a) Cancer b) Arthritis c) Low back pain d) Dysmenorrhea
a) Rest b) Activity c) Heat d) All of the above
a) Morphine IV b) Morphine IM c) Demerol IM d) Codeine po
a) Application of cold packs b) Extra blankets for warmth c) Exercises every 2-4 hours d) Sodium and fluid restriction
a) Hemorrhage b) Fluid retention c) Tissue hypoxia d) All of the above
a) The cause of rheumatoid arthritis is unknown. b) Bilateral joint stiffiness is characteristic of osteoarthritis. c) Osteoarthritis is an inflammatory problem. d) NSAID treatment of arthritis should be on an "as needed" basis rather than around the clock.
a) Vasoconstriction b) Vasodilation c) Tension d) None of the above
a) Classic Migraine b) Tension Headache c) Simple Migraine d) Cluster headache
a) Ergotamine Tartrate b) Imitrex c) Inderal d) All of the above
a) Acute Pain b) Chronic Pain c) Malignant Pain d) Benign Pain
a) The patient has addictive tendencies. b) Patient is trying to manipulate the staff. c) Patient is a "drug seeker". d) Patient is being undermedicated.
a) Previous experience with pain b) Religious beliefs c) Locus of control d) All of the above
a) Self-report b) Patient behaviors c) Physical exam d) Medical history
a) Duration of pain b) Intensity of pain c) Location of pain d) Aggravating factors
a) Respiratory rate less than 8 b) Sedation level c) Hypotension d) Bradycardia
a) 0 b) 1 c) 2 d) 3
a) Repeat the Morphine dose b) Continue to monitor him c) give Narcan d) Encourage him to wait longer
a) 7.5 mg b) 10 mg c) 6mg d) 60 mg
a) 30 mg every 4 hours b) 15 mg every 4 hours c) 10 mg every 4 hours d) 5 mg every 4 hours
a) 10 mg b) 20 mg c) 30 mg d) 60 mg
a) 75 mg b) 150mg c) 60 mg d) 100mg
a) 20 mg b) 40 mg c) 60 mg d) 80 mg
a) It is contraindicated for patients with renal disease. b) It has a duration of 4-6 hours. c) It is the preferred drug for chronic pain. d) All of the above
a) 4-6 hours b) 6-8 hours c) 8-12 hours d) 24-48 hours
a) 0.4 mg diluted with 1 cc of Normal saline b) 0.4 mg undiluted c) 0.4 mg diluted with 10 cc of Normal Saline d) 0.8 mg diluted with 5 cc of Normal Saline
a) Mild b) Moderate c) Severe d) Both b and c
a) Full opiate agonist b) Partial opiate agonist c) Mixed agonist-antagonist d) A non-agonist
a) GI disturbances b) Renal failure c) Both a and b d) Neither a nor b
a) Naprosyn b) Ibuprophen c) Torodol d) Aspirin
a) On an empty stomach b) With food c) PRN for pain d) a and c
a) Tyienol b) Aspirin c) NSAID d) Steroid
a) Medication b) Relaxation c) Distraction d) Therapeutic touch
a) Relaxation b) Stress management c) Coping Skills d) Progressive Activity e) All of the above
a) Heat Application b) Cold Application c) TENS d) All of the above
a) TENS b) Distraction c) Massage d) Imagery e) All of the above
a) Biofeedback b) Education c) Acupuncture d) All of the above
a) True b) False