Term
Which of the following are challenges in Pain Mgmt?
Opioid-induced Hyperalgesia
Opioid Tolerance
Substance Abuse and Addiction
Sickle Cell Disease
Sleep Apnea
Elderly
Neurologic and Cognitive Disease
Renal and Hepatic Disease
Pulmonary Disease
HIV |
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Definition
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Term
What are the steps of General Overview of Assessing and Reassessing Pain?
a)General History
b)Pain Evaluation (acute, chronic, neuropathic?)
c)Etiology
d)Clinical Eval |
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Definition
Steps in order: a, d, c, d
General hx, Clinical exam, Etiology, Pain Evaluation |
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Term
For diagnostics of pain, what imagimg tests are useful?
CXR
CT
Labs
MRI |
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Definition
all are useful.
CXR
CT
Labs: usually don’t indicate pain, but can mby see chest pain if troponin is high, etc
MRI |
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Term
Validated in rheumatic disease, chronic pain, trauma, cancer, and illiterate?
Validated in chronic pain, rheumatic disease and children > 5 y.o.?
a)PQRST-U
b)Numeric Rating Scale
c)Verbal Analog Scale
d)Wong-Baker
e)FLACC
f)Behavioral Pain Rating |
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Definition
Numeric Rating Scale: Validated in rheumatic disease, chronic pain, trauma, cancer, and illiterate
Verbal Analog Scale: Validated in chronic pain, rheumatic disease and children > 5 y.o. |
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Term
Loses/Decreased reliability with preverbal or cognitive dysfunction
a)PQRST-U
b)Numeric Rating Scale
c)Verbal Analog Scale
d)Wong-Baker
e)FLACC
f)Behavioral Pain Rating |
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Definition
| Numeric Rating Scale and Verbal Analog Scale |
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Term
What pain scale can be used in the following age groups?
Mostly for use in < 3yo
3-8 years old (Well validated)
children > 5 y.o.
children 8+ y.o.
a)PQRST-U
b)Numeric Rating Scale
c)Verbal Analog Scale
d)Wong-Baker
e)FLACC
f)Behavioral Pain Rating |
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Definition
Mostly for use in < 3yo: FLACC
3-8 years old: Wong-Baker faces (Well validated)
children > 5 y.o.: Verbal Analog Scale
children 8+ y.o.: Numerical Rating Scale |
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Term
Which pain scale is: For developmentally delayed child
or for non-verbal, ventilated, intubated? Shifted the numbers, it’s 3-12 but think of 12 as 10 and can correlate to severe mod and mild pain.
a)PQRST-U
b)Numeric Rating Scale
c)Verbal Analog Scale
d)Wong-Baker
e)FLACC
f)Behavioral Pain Rating |
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Definition
For developmentally delayed child: FLACC
or for non-verbal, ventilated, intubated: Behvioral Pain Scale |
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Term
Which of the follow is not a pain scale?
a)PQRST-U
b)Numeric Rating Scale
c)Verbal Analog Scale
d)Wong-Baker
e)FLACC
f)Behavioral Pain Rating |
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Definition
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Term
| What does PQRST-U stand for??! |
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Definition
Provoke
Quality
Radiation
Severity
Time
U (what is impact on u?) |
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Term
For the Numeric Rating Scale, what number ratings are:
None
Mild
Moderate
Severe
? |
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Definition
None: 0
Mild: 1-3
Moderate: 4-6
Severe: 7-10 |
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Term
| True or false: when evaluating chronic pain, you must first start with assessment of acute pain. What tools may be used? |
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Definition
true. then add a focus on pain impact (such as social, recreational, mood, anxiety, occupation, sleep, exercise, etc).
Use tools that are multidimensional for better assessment.
1)Brief Pain Inventory (seen the most for chronic pain **KNOW)
-Validated for cancer and non-cancer pain
-Full and shortened version
2)McGill Pain Questionnaire (SF-MQ-2)
-Similar but revised shorter version |
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Term
For neuropathic pain evaluation (after determining if pain was acute or chronic), what pain tools may be used?
a)Numerical Rating Scale
b)Wong Baker
c)DN4
d)Neuropathic Pain Scale
e)S-LANSS |
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Definition
just these:
c)DN4
d)Neuropathic Pain Scale
e)S-LANSS
Several scales if pt gives any indication of neuropathic pain, nerve involvement (tingling, shocking). Don’t just guess if it is neuropathic tho, use scale to see if u are on right track!
DN4: is good, validated.
Neuropathic Pain Scale: is also good, validated, is for reassessment.
S-LANSS: self reported scale, good for pt that is very cognitively there, can use to see progress for themselves.. |
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Term
These questions are asked for which type of pain scale?
Do you feel pins and needles in areas that you have pain? Electric shocks?
Is the area abnormally sensitive (allodynia)?
Does the skin feel hot or burning or painful cold?
Do you feel numbness compared to another area on your body? |
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Definition
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Term
what is: pain that results from a stimulus (that normally doesnt cause pain)
a) allodynia
b) analgesia
c) addiction
d) tolerance
e) pseudo addiction
f) physical dependence |
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Definition
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Term
what is: Behavioral pattern characterized as the loss of control over drug use?
a) allodynia
b) analgesia
c) addiction
d) tolerance
e) pseudo addiction
f) physical dependence |
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Definition
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Term
what is: Diminution of drug effect over time as a consequence of exposure to the drug?
a) allodynia
b) analgesia
c) addiction
d) tolerance
e) pseudo addiction
f) physical dependence |
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Definition
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Term
what is: Pattern of drug seeking behavior of patients with inadequately managed pain ?
a) allodynia
b) analgesia
c) addiction
d) tolerance
e) pseudo addiction
f) physical dependence |
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Definition
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Term
what is: Occurrence of an abstinence syndrome follow administration of an antagonist drug, abrupt reduction or discontinuation of a drug?
a) allodynia
b) analgesia
c) addiction
d) tolerance
e) pseudo addiction
f) physical dependence |
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Definition
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