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WorksheetsPain Management Part II
Total questions: 50
Worksheet time: 50mins
The veterinary technician can play an important role in pain management by:
monitoring urine and fecal output
changing the medication when its ineffective
communicating directly with the clinician about particular concerns
directing the veterinary assistant to provide medications
Which of the following characteristics do cats exhibit when they are experiencing pain?
sleeping continuously, overeating, and attention-seeking behavior
resentment of being handled, aggression, and abnormal posture
hyperactivity, pupillary enlargement, and tail swishing
hypotension, hypocapnia, hypopnea, and bradycardia
When a veterinary technician is trying to distinguish pain from dysphoria, which of the following would the technician do?
place the patient on comfortable blanket
speak in low tones and interacting with the animal makes the patient feel better but behaviors resume when interaction stops
move the animal in a different ward
reverse the analgesic mediation
Which guidelines have elevated pain to the fourth vital sign?
American College of Veterinary Anesthesiologist's Pain Mangement Guidelines
The International Veterinary Academy of Pain Management's Guidelines
AAHA/AAFP Pain Management Guidelines for Cats and Dogs
The AVMA Pain Management Guidelines
Nociception is defined as:
the activity in the peripheral pathway that transmits and processes information about the stimulus to the brain
a normal response to tissue damage
pain without apparent biological origin that has persisted beyond the normal tissue healing time
any stimuli to the affected area that would normally be innocuous that becomes noxious
Which of the following is an NMDA antagonist medication?
Ketamine
Lidocaine
Meperidine
Dexmedetomidine
Which of the following classes of drugs would include gabapentin?
Corticosteroids
Sodium channel blockers
Antiepileptics
Nutraceuticals
Which of the following statements can apply to an intratesticular block?
Intratesticular blocks can only be used in large animal patients
Intratesticular blocks can be used in canine and feline orchiectomies
Intratesticular blocks require the use of a vaporizer
Intratesticular blocks should never be performed on veterinary patients
Massage is an example of which type of rehabilitation technique?
manual therapy
effleurage techniques
physical modalities
therapeutic exercise
Veterinary technicians that advocate for pain management are most closely compared to what group of nurses?
orthopedic nurses
psychiatric nurses
human neonatal and pediatric nurses
emergency and critical care nurses
Which of the following might a dysphoric or delirious animal experience because of opioid overdose?
thrashing and yowling continuously
claustrophobia
only rare response to soothing interaction
clawing on cage doors
The "gold standard" to assess pain is
a physiological assessment
a clinical pathological assessment
a behavioral assessment
there is none
A mental nerve block provides analgesia to the:
maxilla
lower lip and incisors ipsilateral side
upper lip and nose
premolar and molars
The sciatic nerve block provides analgesia to the:
medial portion of the thigh, tibia, and tarsus and akinesia of the quadriceps femoris and muscle
caudal muscles of the thigh
portions distal to the elbow
lumbosacral space and the first or second intercoccygeal space
If a tourniquet is used when injecting a local anesthetic intravenously, the block is referred to as the:
Baer's block
Bayer's block
Byer's block
Bier's block
Therapeutic exercises do not include:
pulling or carrying weights
cavaletti rails
treadmill walking
wheelbarrowing
Phototherapy can be used for:
soft-tissue injuries
wound healing
chronic pain
all of the above
Side effects of local anesthetics can include:
cardiovascular effects
CNS effects
allergic reactions
all of the above
Of the following listed blocks, which is not a dental nerve block?
mandibular nerve block
retrobulbar nerve block
mental nerve block
infraorbital nerve block
What type of nerve block is used to dehorn cattle?
cornual nerve block
epidural nerve block
facial nerve block
disbudding nerve block
A traumatic case of OA in dogs includes obesity as a risk factor. What is the most common traumatic cause of OA in dogs?
ruptured cruciate ligament
torn Achilles group
hip dysplasia
phalangeal fracture
What is "porphyrin staining" in rodents?
hair standing on end
color of cage litter from urine
red tears which may encircle the eye
none of the above
During the initial onset of pain, all of the following physiologic changes can occur, except:
sympathetic tone increases
vasoconstriction
increased myocadial work
decreased oxygen consumption
What is meant by the term noxious stimulus?
a toxic overdose of a drug
a damaging or potentially damaging tissue stimulus
an nitrous oxide reaction
the changing of the nervous system based on the environment
Pain known as first pain, because it is often the first pain felt after injury, is often described as sharp and short lived. This pain signal is transmitted by what nociceptor?
A-Beta
C fibers
Histamine
A-Delta
Pain originating from injury to the skin, muscles, joints, and deep tissues is termed:
somatic pain
visceral pain
deep pain
referred pain
Which of the following time frames describes chronic pain?
pain that lasts only 24 hours
pain that lasts minutes to hours
pain that is prolonged (days, weeks, months)
the sharp pain that accompanies IV catheter placement
What is the function of the myelin?
to act as an inflammatory neurotransmitter
to suppress central sensitization
to decrease the rate of nerve impulse transmission
to increase the rate of nerve impulse transmission
Which of the following is a representation of how a drug can be eliminated from the body?
urine excretion
digestion
biotransformation
metabolization
Which of the following words correctly identifies the tendency of a drug to combine with its intended receptor?
bioavailibity
efficacy
affinity
adherence
Which of the following is an example of an opioid agonist?
morphine
naloxone
butorphanol
nalbuphine
Which of the following routes of administration is not commonly used for opioids in veterinary patients?
intravenous (IV)
intramuscular (IM)
subcutaneous (SQ)
oral administration (PO)
Which of the following opioids has been shown to cause hyperthermia in felines?
Hydromorphone
Butorphanol
Morphine
Methadone
Side effects of NSAIDs most commonly affect what major organ system?
The gastrointestinal tract
The eye
The dermis
The urinary bladder
How do local anesthetic drugs function?
by reducing inflammation
by blocking impulse conduction in nerve fibers
by facilitating the breakdown of arachidonic acid
by acting as an antipyretic
Serotonin syndrome can occur after patients are administered Tramadol concurrently with what drug class?
antibiotics
antidepressants (SSRIs)
opioids
anticholinergics
Which of the following opioids is least likely to cause vomiting in cats?
morphine
methadone
oxymorphone
hydromorphone
If your patient begins responding to surgical stimulation under anesthesia, and you choose to turn the inhalant %, what next step also needs to be done to ensure your patient receives the % dialed in on the vaporizer in a timely manner?
increase your fresh gas flow rate
decrease your fresh gas flow rate
start a constant rate infusion
perform local blocks
Which of the following surgeries would likely involve using a neuromuscular blocking agent?
ovariohysterectomy
castration
cataract removal surgery
digit amputation
What term describes the administration of anesthetic and analgesic agents and adjuncts to calm and prepare the patient for anesthetic induction?
maintenance
recovery
premedication
induction
Tricyclic antidepressants are contraindicated in which of the following patients?
senior patients
osteoarthritis patients
diabetic patients
seizure patients
Which of the following is not a route of administration commonly used for alpha-2 agonists?
transmucosal
subcutaneous
transdermal
intramuscular
Which of the following drugs is classified as a nonsteroidal anti-inflammatory drug?
amantadine
caprofren
ketamine
oxymorphone
Which of the following can be used to reverse all opioid agonist effects at all receptors?
Butorphanol
Naloxone hydrochloride
Morphine
Hydromorphone
Which of the following terms describes the phenomenon of drug metabolism in which the concentration of a drug is greatly reduced before it reaches the systemic circulation?
First-pass effect
Pass-fail effect
Phamacokinetics
Phamacodynamics
An area innervated by a sensory nerve fiber is called what?
dermatome
receptive field
C fibers
A-delta fibers
What is one strategy the veterinary clinic can use to help decrease a patient's likelihood of developing central sensitization and all of the negative aspects associated with it?
provide comfortable bedding
discontinue vaccines
start IV fluids
provide preemptive analgesia
What substance normally blocks NMDA receptor so that it cannot allow ions to pass freely and generate an impulse?
sodium
magnesium
potassium
calcium
Where do peripheral nerve fibers A-delta and C fibers terminate?
the brain
the hypothalamus
the skin
the dorsal horn of the spinal cord
Traditional Chinese veterinary medicine (TCVM) includes what five branches?
diet/food, exercise Qigong, Tui-na, acupunture, and herbal medicine
Yin-yang, eight principles, zang-fu organs, four levels and six stages
wood, fire, eart, metal and water
heart, blood, spleen, lung, and kidney
