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M&M Test 4 > B6-017 Pain Management > Flashcards

B6-017 Pain Management Flashcards

1
Q

migraines, TMJ, fibromyalgia, IBS are examples of […] pain

A

centralized

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2
Q

amplification of nervous system pain

A

centralized

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3
Q

widespread pain
pain to non-painful stimuli
normal imaging and labs

A

centralized pain

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4
Q

pain that follows a distinct distribution based on injury

A

neuropathic

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5
Q

patient reports pain in dermatomal distributions

A

neuropathic

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6
Q

pain due to inflammation

A

nociceptive

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7
Q

osteoarthritis causes […] pain

A

nociceptive

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8
Q

can cause seizure, especially when coupled with anti-depressants or muscle relaxants

A

tramadol

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9
Q

weak mu agonist and serotonin reuptake inhibitor

A

tramadol

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10
Q

helps to address pain via cognitive and behavioral interventions

A

pain psychology

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11
Q

first line non-pharmacologic agent used to help pain and improve physical function

A

physical therapy

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12
Q

resolves with effective analgesic therapy and patient was not seeking care for ineffective pain relief

A

pseudoaddiction

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13
Q

respiratory depression, sedation, hypotension, bradycardia

A

overdose

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14
Q

physiologic state resulting from regular use of a drug in which an increased dosage is needed to provide relief

A

tolerance

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15
Q

state of adaptation manifested by drug signs and symptoms that can be produced by abrupt cessation, dose reduction, or antagonist administration

A

physical dependence

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16
Q

psychiatric disorder where use of a substance is characterized by loss of control, compulsive use, preoccupation, and continued use despite harm

A

addiction

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17
Q

pain that follows a distinct distribution

A

neuropathic

18
Q

potential for respiratory depression and dose-related constipation are side effects of

A

opioids

19
Q

important components of the physical exam for chronic pain [6]

A

muscle strength
sensory abnormalities
reflexes
coordination
gait
cranial nerve testing

20
Q

is imaging necessary for the workup of pain?

A

no

imaging is often over ordered and does not necessarily correlate to pain

21
Q

what type of study may be useful in the evaluation of the peripheral nervous system to guide prognosis/treatment?

A

EMG

22
Q

most research [does/does not] support the use of opioids for chronic non-cancer pain

A

does not

23
Q

poor drug metabolizers can accumulate what opioid?

A

hydrocodone

24
Q

contraindicated in patients <18 due to respiratory depression/death

A

codeine

25
Q

opioid that can lower the seizure threshold

A

tramadol

26
Q

stronger mu opioid agonist and NE reuptake inhibitor
can increase serotonin levels

A

tapentadol

27
Q

resolves with effective analgesic therapy

A

pseudoaddiction

28
Q

treatment for opioid overdose

A

naloxone

29
Q

osteoarthritis
autoimmune disorders
cancer

cause […] pain

A

nociceptive

30
Q

diabetic neuropathy
post-herpetic neuralgia
sciatica
carpal tunnel

cause […] pain

A

neuropathic

31
Q

pain due to inflammation or damage

A

nociceptive

32
Q

pain due to nerve damage/entrapment

A

neuropathic

33
Q

pain due to CNS or systemic problem

A

centralized

34
Q

pain is well-localized, consistent effect of activity on pain

A

nociceptive

35
Q

follows nerve distribution/dermatome

A

neuropathic

36
Q

episodic
lancinating (stabbing)
numbness
tingling

described […] pain

A

neuropathic

37
Q

pain is widespread and accompanied by fatigue, sleep/memory/mood difficulties

A

centralized

38
Q

fibromyalgia
functional GI disorders
TMJ
tension headache
intersitial cystitis, bladder pain syndrome

examples of […] pain

A

centralized

39
Q

considered first line pharmacotherapy for neuropathic pain

A

gabapentinoids

40
Q

best initial conservative treatment of pain
helps reduce pain and improve function

A

physical therapy

41
Q

can help to increase perception of control and self-efficacy in pain disorders

increases good health behaviors like sleep, exercise, appropriate med use

A

pain psychology

42
Q

acupuncture and tai chi are examples of

A

complementary alternative medicine

M&M Test 4 (14 decks)

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