Worksheetspain course
Total questions: 12
Worksheet time: 2mins
According to Malaysian Pain-Free Programme, pain should be assessed as:
A symptom only when patient complains
Only after diagnosis is made
Only in severe cases
A vital sign assessed routinely
Which is the correct order of the WHO Pain Ladder?
Strong opioid → Weak opioid → Non-opioid
Non-opioid → Weak opioid → Strong opioid
NSAID → Paracetamol → Morphine
Paracetamol → Morphine → NSAID
Best analgesia strategy for a 5-years old requiring suturing of a forehead laceration wound
Physical restraint only
Oral paracetamol only
IM Morphine
Local anaesthetic + Distraction
A 30-year-old with ankle sprain, pain score 6/10. Best initial analgesia?
IV morphine
IM diclofenac
Oral paracetamol + NSAID
Fentanyl infusion
NSAIDs should generally be avoided in which trimester?
First trimester
Second trimester
Third trimester
All trimesters
In elderly patients, which analgesic requires EXTRA caution?
Paracetamol
Oral NSAIDs
Topical NSAIDs
Low-dose opioids
Which best describes multimodal analgesia?
Using the strongest drug first
Using opioids only
Avoiding reassessment
Combining different classes for better pain control
For renal colic in ED, best first-line analgesic?
Paracetamol
Morphine
NSAID
Tramadol
A patient becomes drowsy (GCS 14/15) with RR 8/min after IV morphine. Immediate management?
Intubate immediately
Give flumazenil
Give naloxone
Observe only
A 28-week pregnant woman with long-bone fracture has severe pain. Best analgesic option?
NSAIDs
Paracetamol only
Titrated IV morphine
Tramadol
An 80-year-old with hip fracture is confused. Best pain management approach?
Avoid opioids completely
Adequate analgesia with careful titration
Sedate instead of giving analgesia
Wait for surgery
Which statement BEST defines procedural sedation and analgesia (PSA) in ED
Use of sedatives to make patient unconscious for procedure
Use of analgesics only for painful procedure
Use of sedatives and/or analgesics to fascilitate procedures while maintaining cardiorespiratory function
Use of paralytics to allow procedures to be performed
