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Journal of Neuroscience Nursing:
doi: 10.1097/JNN.0b013e3181b2ad41
CE Test

The Surgical Treatment of Trigeminal Neuralgia: Overview and Experience at the University of Florida

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Instructions:

* Read the article on page 211.

* Take the test, recording your answers in the test answers section (Section B) of the CE enrollment form. Each question has only one correct answer.

* Complete registration information (Section A) and course evaluation (Section C).

* Mail completed test with registration fee to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723.

* Within 4-6 weeks after your CE enrollment form is received, you will be notified of your test results.

* If you pass, you will receive a certificate of earned contact hours and answer key. If you fail, you have the option of taking the test again at no additional cost.

* A passing score for this test is 13 correct answers.

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* Questions? Contact Lippincott Williams & Wilkins: 1-800-787-8985.

Registration Deadline: August 31, 2011

Disclosure Statement:

The authors have disclosed that they have no significant relationship with or financial interest in any commercial companies that pertain to this educational activity.

Provider Accreditation:

Lippincott Williams & Wilkins, publisher of Journal of Neuroscience Nursing, will award 2.0 contact hours for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454. LWW home study activities are classified for Texas nursing continuing education requirements as Type 1. Your certificate is valid in all states.

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GENERAL PURPOSE STATEMENT: To familiarize the registered professional nurse with treatments for patients with trigeminal neuralgia.

LEARNING OBJECTIVES: After reading this article and taking this test, the nurse will be able to:

1. Discuss the etiology, clinical presentation, and medical and surgical treatment of trigeminal neuralgia.

2. Describe the methodology, results, and conclusions of the study reported in this article.

1. Trigeminal neuralgia affects which cranial nerve?

a. I

b. III

c. V

d. VIII

2. Which patient is most likely to be affected by trigeminal neuralgia?

a. a 36-year-old female

b. a 63-year-old female

c. a 46-year-old male

d. an 83-year-old male

3. Most patients with trigeminal neuralgia generally describe their facial pain as

a. mild, bilateral dull tingling sensation.

b. mild, unilateral dull tingling sensation.

c. very severe, bilateral sharp, stabbing, electrical pain.

d. very severe, unilateral sharp, stabbing, electrical pain.

4. Bilateral trigeminal neuralgia is most frequently seen in patients with which of the following underlying disorders?

a. multiple sclerosis

b. amyotrophic lateral sclerosis

c. Bell's palsy

d. meningitis

5. Which of the following is a common trigger point for patients with trigeminal neuralgia?

a. cold air

b. hot air

c. sneezing

d. crying

6. Which medication has been found to be most effective in treating trigeminal neuralgia?

a. morphine sulfate

b. baclofen

c. carbamazepine

d. phenytoin

7. Which significant side effect occurs with higher doses of medications used to treat trigeminal neuralgia?

a. hypertension

b. gastrointestinal bleeding

c. renal failure

d. mental confusion

8. Which statement is true about radiofrequency lesioning (RFL)?

a. It is performed as an outpatient procedure.

b. It can only be performed in patients younger than 50 years of age.

c. It leaves the patient with temporary facial numbness.

d. It is effective for long-term relief of pain.

9. Which of the following is a side effect of RFL?

a. permanent hearing loss

b. permanent vision loss

c. painful numbness

d. migraine headaches

10. Postoperative care of the patient undergoing microvascular decompression (MVD) includes management of

a. migraine headaches.

b. nausea and vomiting.

c. hypertension.

d. hypotension.

11. For patients undergoing MVD, facial pain is usually relieved

a. immediately.

b. 8 to 24 hours after the procedure.

c. 48 hours after the procedure.

d. 72 hours after the procedure.

12. Which of the following is not a surgical procedure used to treat trigeminal neuralgia?

a. radiosurgery

b. neurotransmission blockade

c. balloon compression

d. glycerol injection

13. Which of the following best describes the type of study described in this article?

a. randomized controlled trial

b. prospective cohort study

c. retrospective study

d. qualitative study

14. In the study presented in this article, what percentage of patients who underwent RFL had pain relief without medication on follow-up?

a. 50%

b. 60%

c. 70%

d. 80%

15. In the study presented in this article, what percentage of patients who underwent MVD had complete pain relief without medication at the last follow-up?

a. 59%

b. 69%

c. 79%

d. 89%

16. In a review of studies on MVD, most authors noted that finding an artery distorting the trigeminal nerve

a. was a favorable prognostic factor.

b. was an unfavorable prognostic factor.

c. results in more immediate postoperative complications.

d. results in the need for repeated procedures.

17. Which statement best describes the authors' conclusions about MVD?

a. It is the most efficacious treatment for trigeminal neuralgia.

b. It is a less efficacious treatment for trigeminal neuralgia.

c. It is best used for patients with medical co-morbidities.

d. It is best used for patients under 50 years of age.

18. Which statement best describes the authors' conclusions about RFL?

a. It is the most efficacious treatment for trigeminal neuralgia.

b. It is the least efficacious treatment for trigeminal neuralgia.

c. It is recommended for patients with medical co-morbidities.

d. It is best used for patients under 50 years of age.

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© 2009 American Association of Neuroscience Nurses

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