Relias Exam : Basic Pain Management (Hospice) | Questions with 100% Correct Answers Verifi, Exams of Business Strategy

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Which of the following is FALSE regarding tricyclic antidepressants (TCAs) and their management of neuropathic pain? 1 Cardiac conduction abnormalities limit their use in patients with arrhythmias 2 SSRIs have a superior analgesic effect compared to TCAs 3 Anticholinergic side effects limit their use in the elderly 4 Literature supports their use in post-stroke pain and pain related to spinal cord injury - Correct answer SSRIs have a superior analgesic effect compared to TCAs

Among the following NSAIDs, which is associated with the highest risk of GI side effects (ulcers, bleeding)?

Celecoxib (Celebrex®) Meloxicam (Mobic®) Ketorlac (Toradol®) Etodolac (Lodine®) - Correct answer Ketorlac (Toradol®)

Which of the following bowel regimens is MOST appropriate for a patient taking MS Contin® 60mg PO every 12 hours and hydromorphone 2mg PO every 3 hours as needed?

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1. Docusate sodium (Colace®) 100mg PO at bedtime
2. Senna-S® 1 tablet PO BID as needed
3. Docusate sodium (Colace®) 100mg PO BID
4. Senna 1 tablet PO Daily - Correct answer Senna 1 tablet PO Daily

Which of the following pain is NOT considered somatic pain?

1. Bone pain
2. Bowel obstruction
3. Muscle spasms
4. Pain at the incision site - Correct answer Bowel obstruction

Which of the following is FALSE regarding the principles of pain management?

1. True opioid allergies are rare
2. Titrate doses individually for each patient
3. Drug choice should be based on pain type and severity of pain
4. Pain is an objective measure - Correct answer Pain is an objective measure

All of the following patients are considered at risk for poor pain assessment EXCEPT:

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1. 55 y/o diagnosed with prostate cancer with no comorbidities
2. 85 y/o diagnosed with advanced dementia with no comorbidities
3. 5 y/o diagnosed with leukemia
4. 45 y/o diagnosed with end-stage liver disease with a history of substance abuse - Correct answer 55 y/o diagnosed with prostate cancer with no comorbidities

Initiation of transdermal fentanyl is MOST appropriate for which of the following patients?

1. 31 year old patient with ovarian cancer and complaints of lower back pain whose current pain management regimen includes only Ultram® 50mg PO TID
2. 50 year old with colon cancer living at home with wife and 2 college-age children. Taking Morphine IR tablets PO ATC for pain control.
3. 80 year old with Huntington's disease whose pain regimen consists of Gabapentin 300mg PO TID and Acetaminophen 325mg PO every 6 hours as needed.
4. 75 year old with lung cancer and comorbid of dementia with uncontrolled chronic pain and dyspnea who is prescribed OxyContin® and Roxanol® PO however regularly forgets to take his medications. - Correct answer 75 year old with lung cancer and comorbid of dementia with uncontrolled chronic pain and dyspnea who is prescribed OxyContin® and Roxanol® PO however regularly forgets to take his medications.

The pain experienced from a myocardial infarction (heart attack) is an example of visceral pain.

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True False - Correct answer True

Which of the following is a term used to describe neuropathic pain?

1. Throbbing
2. Aching
3. Burning
4. Cramping - Correct answer Burning

Which of the following is NOT a term used to describe bone pain?

1. Shooting
2. Worse with movement
3. Dull
4. Diffuse - Correct answer Shooting