Pharmacology Neuropathic Pain Chronic Pain Hospice Acute Post Operative Pain
100
What is Morphine?
This opioid is considered “Gold Standard”
100
What is Low Back Pain?
With over 2 Million cases per year in the US, this condition is quite prevalent.
100
What are Sympathetic and Parasympathetic?
______ is to “flight or flight” whereas
______ is to “rest and digest”
100
What are Quality and Quantity?
Palliative care focuses improving the patient’s _______ of life rather than ______ of life
100
What is Chronic?
Unrelieved acute post-traumatic and postoperative pain are risk factors for developing ________ pain
200
What are Severity, Source of pain, Time (chronic/acute), age, comorbidities?
5 Basic principles of choosing an analgesic
200
What is Diabetic peripheral Neuropathy?
Both Duloxetine and pregablin are approved to treat neuroatphic pain associated with this condition
200
What are Soma, Dendrites, Axon, Terminal Boutons?
These are the 4 components that make up the functional unit of the nervous system
200
What is all four?
Routine care, General In-Patient care, Continuous care, Respite care. Of the above, indicate how many falls under Hospice Care
200
What is Preventive Analgesia?
This type of analgesia is provide longer duration of effective analgesia in the perioperative and can be administered before or after surgery
300
What are Opioids and NSAIDS?
Although Visceral and Somatic pain are nociceptive pain. But Visceral pain responds to _______ whereas Somatic (nociceptive) pain responds to ________
300
What is Post Herpatic Neuralgia (PHN)?
Gabapentin, Pre-gabalin, Lidocaine patch, and Capsaicin have been FDA approved to treat neuropathic pain in this condition
300
What are receptor fields?
These fields are found more densely as you travel more distal from the body
300
What is 13 months?
In the third phase of Hospice care, hospices are required to provide bereavement services for at least this many months to all families/friends of patients who have died under hospice care.
300
What is Pre-emptive analgesia?
1) Blocking transmission to the spinal cord
2) Preventing wind-up
3) Modifying pain processes withiin the spinal cord and brain

Are these goals of Pre-emptive analgesia vs. Preventive analgesia?
400
What are NSAIDS?
Administer with food; beware of GI pain and bleeding; renal impairment – these are common concern when taking this class of drug
400
What are Transduction, Transmission, Modulation, Perception?
What are the 4 physiological steps in Pain Perception?
400
What is A-beta?
Between A-beta, A-delta, and C fibers, which fiber is the fastest
400
What is 6 months?
For a patient to be eligible to receive and remain on hospice care, the referring/certifying physician must state that in their best medical judgment that: “with the usual course of their illness, the patient is likely to die within ___ months
400
What is PCA?
Between NSAIDS, COX-2 inhibitors, and PCA, only one of these treatment should be consider for acute pain in elderly
500
Who are Elderly Patients?
Due to reduced renal function and susceptibility to CNS adverse effects, “start low/go slow” is the best approach when treating this group of patients
500
What is Carbamazepine?
This medication is FDA approved to treat neuropathic pain in Trigeminal Neuralgia (TGN)
500
What are A-delta and C-fiber
With nociception, the “first pain” is mediated by this ____ fiber and “second pain” is mediated by this _______ fiber.
500
What are Nurse, Social Worker, Chaplain, Medical Director, Volunteer Coordinator, Bereavement Coordinator?
At the minimum, these 6 professionals must be included in a hospice Interdisciplinary team
500
What are sensation (anaesthesia) and pain (analgesia)?
By blocking the transmission of signals through nerves in or near the spinal cord, the injection of local anesthetics can cause both a lost in _________ and _________?






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