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WorksheetsWS. MANAJEMEN NYERI
Total questions: 15
Worksheet time: 5mins
One part of the McGill Pain Questionnaire (MPQ) asks the patient to describe what the pain feels like. Several descriptors are grouped together to characterize the pain. Which of the following would be found in the same category as the term flickering?
Pinching, pressing, gnawing
Sharp, cutting, lacerating
Throbbing, beating, pounding
Jumping, flashing, shooting
The Visual Analogue Scale (VAS) consists of a 10-cm line that is labeled “No pain at all” on the left and “The worst pain imaginable” on the right. Patients are asked to mark on the line how strong their pain is at the moment. How is the line divided, if at all?
1-cm divisions
1-mm divisions
Divisions numbered 1 through 10
Divisions numbered 1 through 100
No divisions
The most appropriate nonsteroidal anti inflammatory drug (NSAID) to use in a lactating female is
Piroxicam
Diflunisal
Ketorolac
Naproxen
Ibuprofen
The following statements regarding drug interactions with NSAIDs are true EXCEPT that
NSAIDs prolong the prothrombin time (PT) in patients on warfarin
The combination of diflunisal and indomethacin has resulted in fatal gastric hemorrhage
Inhibition of platelet aggregation by NSAIDs makes the patient more susceptible to bleeding
There is less risk of gastrointestinal (GI) adverse effects in patients taking steroids
Misoprostol has been shown to prevent NSAID induced gastropathy
Select the statement that best describes the action of NSAIDs.
NSAIDs have their main activity in the CNS
Tolerance may occur with long term use
NSAIDs are potent cyclooxygenase inhibitors
NSAIDs facilitate neutrophil migration and lymphocyte responsiveness
Early signs of local anaesthetic toxicity after intravenous administration include all the following EXCEPT
Tinnitus
Hypotension
Agitation
Metallic taste
Light headedness
In general, all antidepressants
Are hydrophilic
Are poorly absorbed in the GI tract
Have extensive first pass hepatic metabolism
Are poorly bound to alpha-1 acid glycoprotein
Pain is best defined as?
The response to a stimulus that is damaging to tissue integrity
The process of detecting and signaling the presence of a noxious stimulus
The emotional reaction of an organism to a noxious stimulus
An unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage
Allodynia can be defined as
Hypersensitivity to a painful stimulus
Summation of mildly painful stimuli that causes severe pain
Pain caused by a nonpainful stimulus
Pain present in an area of numbness
All the following are true regarding nociceptive pain EXCEPT
It is not commonly relieved by narcotic agents
It is described as sharp or shooting in nature
It may be relieved by changing position
It is described as intermittent, cramping, and throbbing
It is commonly abolished by local anaesthetic blockade
All the following statements about the “wind-up” phenomenon are true EXCEPT
Prolonged hyperexcitability of spinal dorsal horn neurons increases with repeated C-fiber input
The spinal cord neurons receive the C-fiber impulses and respond with greater discharges when input arrives at intervals of less than 3 s
Wind-up does not play a role in the pain experienced by patients with reflex sympathetic dystrophy (RSD)
Mk-801 decreases Fos protein expression in the superficial laminae of the dorsal horn
The early immediate gene C-Fos activity increases after nerve injury to produce Fos protein within 2 h after nerve section
Regarding a myelinated nerve fibers, all the following statements are true EXCEPT
The action potential is regenerated only at the nodes of Ranvier
The resting potential is about -90 microvolts (mV)
Sodium channels are present only at the nodes of Ranvier
Potassium ions flow inward across the cell membrane during dopolarization
A VAS score of 5:
Represents the same level of pain that another patient with a VAS of 5 feels
Is not affected by the patient’s cultural upbringing
Can be used as an indicator of the efficacy of a treatment regimen
Represents a measurement of pain behavior
All of the above
In acute pain therapy when one selects an analgesic agent, the choice is:
Fewer repeated doses of high clearance drug
Fewer repeated doses of low clearance drug
Frequent repeated doses of low clearance drug
Oral administration
which is opioid?
codein
meloxicam
paracetamol
gabapentin
