Pain Syndromes
Burning neuropathic pain in feet worse at night suggests:
A. Plantar fasciitis
B. Fibromyalgia
C. Diabetic neuropathy
D. Arthritis
C. Diabetic neuropathy
In 1986, the World Health Organization (WHO) proposed the WHO analgesic ladder to provide adequate pain relief for cancer patients. Tramadol comes at what step of the original ladder:
A. 1st step
B. 2nd step
C. 3rd step
D. 4th step
B. 2nd step
“Worst headache of life” suggests:
A. Migraine
B. Tension headache
C. Sinusitis
D. Subarachnoid hemorrhage
D. Subarachnoid hemorrhage
Block most commonly used for shoulder surgery:
A. Interscalene block
B. Supraclavicular block
C. Infraclavicular block
D. Axillary block
A. Interscalene block
Rotator cuff tear most commonly involves:
A. Subscapularis
B. Teres minor
C. Supraspinatus
D. Infraspinatus
C. Supraspinatus
Post-herpetic neuralgia risk increases most with:
A. Early antiviral therapy
B. Younger age
C. Severe acute zoster pain
D. Using NSAIDs
C. Severe acute zoster pain
1mg of IV Morphine is equal to:
A. 4mg oral Morphine
B. 2mg IV Nalbuphine
C. 10 mg of IV Tramadol
D. 10 mg of IV fentanyl
C. 10 mg of IV Tramadol
Triad of spinal epidural abscess.
A. Back pain, fever, neuro deficits
B. Numbness, vomiting, rash
C. Chest pain, diaphoresis, pallor
D. Pain, cough, wheezing
A. Back pain, fever, neuro deficits
First neurological sign of local anesthetic toxicity (LAST):
A. Seizures
B. Visual loss
C. Perioral numbness/metallic taste
D. Coma
C. Perioral numbness/metallic taste
Most common cause of anterior knee pain in runners:
A. Meniscal tear
B. IT band syndrome
C. Patellofemoral pain syndrome
D. Bursitis
C. Patellofemoral pain syndrome
Disorder causing electric shock-like facial pain:
A. Migraine
B. Trigeminal neuralgia
C. Cluster headache
D. TMJ dysfunction
B. Trigeminal neuralgia
NSAID considered safest for cardiovascular risk:
A. Ketorolac
B. Naproxen
C. Celecoxib
D. Piroxicam
B. Naproxen
Red flag suggesting acute spinal cord compression:
A. Pain radiating to thigh
B. Pain worse with walking
C. Saddle anesthesia
D. Localized tenderness only
C. Saddle anesthesia
Which block is BEST for postoperative analgesia after anterior knee surgery?
A. Popliteal sciatic block
B. Adductor canal block
C. QL block
D. Caudal block
B. Adductor canal block
Tennis elbow involves which structure?
A. Medial epicondyle
B. Biceps tendon
C. Lateral epicondyle
D. Supraspinatus tendon
C. Lateral epicondyle
CRPS Type II differs from Type I by:
A. More swelling
B. Nerve injury confirmed
C. No allodynia
D. Faster recovery
B. Nerve injury confirmed
Drug binding α2δ calcium channel subunit:
A. Lamotrigine
B. Pregabalin
C. Valproate
D. Levetiracetam
B. Pregabalin
A red, swollen joint with severe pain and fever should raise suspicion for:
A. Gout
B. Reactive arthritis
C. Septic arthritis
D. Rheumatoid flare
C. Septic arthritis
Most serious early complication of an interscalene block:
A. Pneumothorax
B. Horner’s syndrome
C. Phrenic nerve palsy
D. Hypotension
C. Phrenic nerve palsy
The “empty can” test assesses which muscle?
A. Infraspinatus
B. Teres major
C. Supraspinatus
D. Deltoid
C. Supraspinatus
Which pain syndrome is due to thalamic injury?
A. CRPS
B. Central post-stroke pain
C. Myelopathy
D. Phantom limb pain
B. Central post-stroke pain
Drug class with an analgesic “ceiling effect.”
A. Opioids
B. NSAIDs
C. Ketamine
D. Corticosteroids
B. NSAIDs
Red flag pain of aortic dissection classically radiates to:
A. Left arm
B. Back between scapulae
C. Mandible
D. Abdomen only
B. Back between scapulae
Mechanism responsible for prolonged analgesia in liposomal bupivacaine?
A. Higher pKa
B. Multivesicular depot slow release
C. Stronger sodium channel binding
D. Increased vasodilation
B. Multivesicular depot slow release