This is Gonna Hurt
Burning Questions
Aching for Answers
Dosed and Confused
Oh, the Humanity!
100

This over-the-counter analgesic is preferred for mild to moderate pain and fever but can cause liver toxicity in high doses.

What is acetaminophen?

100

This condition, often seen in older adults, is characterized by cartilage degeneration and joint pain.

What is osteoarthritis?

100

Pain lasting longer than three months is classified as this.

What is chronic pain?

100

This opioid side effect does not resolve over time.

What is constipation?

100

This three-letter abbreviation represents a key strategy used to compare different opioids by converting them to an equivalent dose of morphine.

What is MME (Morphine Milligram Equivalent)?

200

This opioid is metabolized to morphine by CYP2D6, making it less effective in poor metabolizers and risky in ultra-rapid metabolizers.

What is codeine?

200

This painful condition follows a shingles outbreak and results from nerve damage.

What is postherpetic neuralgia?

200

This drug class, including amitriptyline and nortriptyline, is commonly used for neuropathic pain and fibromyalgia but carries a risk of anticholinergic side effects.

What are tricyclic antidepressants (TCAs)?

200

NSAIDs are associated with many toxicities. Name 3.

What are Renal, GI, and Cardiovascular toxicities?

200

This three-letter abbreviation refers to a pump that allows individuals to self-administer opioid doses as needed for pain relief.

What is PCA?

300

This intravenous NSAID is commonly used in emergency settings for moderate pain but is limited to short-term use due to its risk of gastrointestinal and renal toxicity.

What is ketorolac?

300

This serotonin-norepinephrine reuptake inhibitor (SNRI) is FDA-approved for both chronic musculoskeletal pain and diabetic neuropathy.

What is duloxetine?

300

A slow opioid taper typically involves reducing the dose by this percentage.

What is 10%?

300

Morphine can cause spasm of this biliary structure, potentially worsening pain in patients with pancreatitis or gallbladder disease.

What is the sphincter of Oddi?

300

This four-letter abbreviation refers to the state-run program that tracks the prescribing and dispensing of controlled substances to help identify patterns of abuse or diversion.

What is PDMP (Prescription Drug Monitoring Program)?

400

This common over-the-counter medication is recommended for cardiovascular protection but can increase the risk of gastrointestinal ulcers and bleeding.

What is aspirin?

400

This topical agent, derived from chili peppers, can be used for localized neuropathic pain but often causes burning upon application

What is capsaicin?

400

This NSAID is available as a topical gel.

What is diclofenac?

400

This medication is used for spasticity in conditions like multiple sclerosis or spinal cord injury.

What is either tizanidine or baclofen?

400

This pain scale, often used in clinical settings, is abbreviated as NRS and asks patients to rate their pain on a scale from 0 to 10.

What is the Numeric Rating Scale?

500

This opioid reversal agent can rapidly reverse respiratory depression but may precipitate withdrawal.

What is naloxone?

500

Chronic opioid use can lead to this phenomenon, in which patients experience increased sensitivity to pain rather than relief.

What is opioid-induced hyperalgesia?

500

The name of the metabolite that accumulates in renal impairment and causes seizures.

What is normeperidine?

500

This opioid has a ceiling effect for respiratory depression due to its partial agonist activity.

What is buprenorphine?

500

The five-letter acronym, FLACC, refers to a pain scale used for non-verbal children and adults. Name what each letter stands for.

What is Face, Legs, Activity, Cry, Consolability?

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