POST TEST – IAFP Evidence Based Treatment of Chronic Pain
Please circle the correct answer:
Question #1: What is one of the theorized reasons for the
increase in the amount of opioid prescribing in the last
decade?
a.
Lack of other useful medications
b.
Stringent insurance requirements
c.
Emphasis on pain by the Joint Commission
d.
Pharmaceutical company advertising
Question #2: What class of medications is a first line
choice for chronic neuropathic pain?
a.
Opioids
b.
Anticonvulsants
c.
Benzodiazepines
d.
Sympathomimetics
Question #3: When used, opioids should have the following
principle followed:
a.
They should be continued for at least one month.
b.
No risk tool is necessary to be administered.
c. Medication should be added to control side
effects.
d. The lowest dose to provide functional improvement
should be used.
Question #4:
Poor outcomes from use of opioids for
chronic pain can usually be predicted when identifying:
a.
History of diversion.
b.
History of depressive order.
c.
Non-resolution of a workers compensation case.
d.
All of the above.
Question #5: Current concern about opioid medications used
in chronic pain center most around what issue?
a.
Their high cost.
b.
The fact that they do not work.
c.
The high rate of overdose death.
d. The lack of monitoring tools available for
clinicians.
Question #6:
Urine drug screening is an important part
of the management strategy for the patient on chronic
opioid therapy because:
a. Drug screens done at appointment times give a good
indication of misuse of other potential drugs.
b. Random tests can identify if the patient is actually
taking the medication that has been prescribed.
c. The standard federal drug test panel will suffice to
test most prescribed opioid medications
d. Quantitative levels are usually able to be
interpreted by most primary care physicians
correctly
Question #7:
Chronic use of opioid medications can cause:
a. Weight loss
b. Pituitary tumors
c. Mu receptor loss
d. Hypogonadism
Question #8: When a patient returns for an appointment
after receiving a prescription for opioids for chronic pain
management, the BEST predictor of a good outcome from use
of these medications as a reasonable strategy is:
a. Documentation and report of increased functional
ability
b. Documentation and report of decreased pain
c. A normal physical examination
d. A request for an early refill for the prescription
previously written.