Question 1

A patient who has chronic lower back pain reports increased difficulty sleeping unrelated to discomfort, along with a desire to quit working. What will the provider do?&#10;A) Ask the patient about addiction issues.&#10;B) Consult with a social worker.&#10;C) Increase the dosage of prescribed pain medications.&#10;D) Order radiographic studies of the lower spine.

Accepted Answer

The patient's symptoms of difficulty sleeping and desire to quit working suggest a potential psychosocial issue beyond just the chronic lower back pain. Consulting with a social worker can help address any underlying stressors or mental health concerns that may be contributing to the patient's symptoms. Asking about addiction issues should also be considered, but it is not the best choice in this scenario as it does not directly address the patient's reported difficulty sleeping and desire to quit working. Increasing medication dosage or ordering radiographic studies may not be necessary at this time as the patient's symptoms do not necessarily indicate a need for medical intervention.

Question 2

A patient is beginning treatment for chronic pain and is unable to tolerate nonsteroidal anti-inflammatory drugs. What will the provider prescribe for this patient?&#10;A) A mixed opiate product&#10;B) A pure opioid compound&#10;C) A referral for a nerve block procedure&#10;D) A selective serotonin reuptake inhibitor (SSRI)

Accepted Answer

D

Question 3

A patient with chronic leg pain describes the pain as &#34;stabbing&#34; and &#34;throbbing.&#34; This is characteristic of which type of pain?&#10;A) Neuropathic pain&#10;B) Referred pain&#10;C) Somatic pain&#10;D) Visceral pain

Accepted Answer

C

Deck 15: Acute, Chronic, Oncologic, and End-Of-Life Pain Management in Primary Care