Pain Management (Textbook) MCQs

Question 1

Intravenous guanethidine:

a) blocks parasympathetic nerves
b) cannot be repeated
c) when used for the treatment of chronic pain the tourniquet must remain inflated for at least 1 hour
d) is used as a treatment for sympathetic dystrophy
e) commonly causes postural hypotension.

Answer 1

d) is used as a treatment for sympathetic dystrophy

Question 2

Trigeminal ganglion block causes ipsilateral analgesia of the:

a) lower lip
b) alar nasi
c) angle of the jaw
d) external auditory meatus
e) soft palate

Answer 2

a) lower lip
b) alar nasi

Question 3

Sympathetic dystrophy:

a) can cause osteoporosis
b) causes an increase in skin temperature
c) causes pain
d) causes vasoconstriction
e) is more common in athletes.

Answer 3

b) causes an increase in skin temperature
c) causes pain

Question 4

Coeliac plexus blockade:

a) can be used to relieve pain from intra-abdominal malignancy
b) may cause orthostatic hypotension
c) may cause diarrhoea
d) can be used to treat pain in acute pancreatitis
e) causes constriction of the sphincter of Oddi

Answer 4

a) can be used to relieve pain from intra-abdominal malignancy

b) may cause orthostatic hypotension
c) may cause diarrhoea

Question 5

Complications of stellate ganglion block include:

a) pneumothorax
b) dural puncture
c) injection into the vertebral artery
d) damage to the phrenic nerve
e) damage to the vagus nerve.

Answer 5

ALL answers are correct!

Question 6

Sympathectomy may be used in the treatment of:

a) Raynaud’s disease
b) causalgia
c) hyperhydrosis
d) venous ulcers
e) pain of intermittent claudication.

Answer 6

a) Raynaud’s disease
b) causalgia
c) hyperhydrosis
e) pain of intermittent claudication.

Question 7

Concerning stellate ganglion block:

a) oesophageal perforation may occur

b) diaphagmatic paralysis may result

c) Horner’s syndrome is essential for a successful block

d) a successful block abolishes a change in skin resistance on stimulation

e) a vasovagal reaction can occur whilst performing it.

Answer 7

ALL answers are correct!

Question 8

The coeliac ganglion lies:

a) on the body of the 13th vertebra
b) in front of the aorta
c) on the crura of the diaphragm
d) behind the inferior vena cava
e) behind the pancreas.

Answer 8

b) in front of the aorta
c) on the crura of the diaphragm
d) behind the inferior vena cava
e) behind the pancreas.