Living with the nightmare of neuropathic pain
INSTRUCTIONS Living with the nightmare of neuropathic pain
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Living with the nightmare of neuropathic pain
GENERAL PURPOSE: To provide information about neuropathic pain. LEARNING OBJECTIVES: After reading this article and taking the test, you should be able to: 1. Identify the origins of neuropathic pain. 2. Describe recommended treatments for neuropathic pain.
© 2014 by Wolters Kluwer Health | Lippincott Williams & Wilkins.
- CRPS II is distinguished from CRPS I by
- central nervous system structural reorganization.
- sympathetic nervous system dysfunction.
- enhanced peripheral neurogenic inflammation.
- the presence of a nerve lesion.
- A painful response to a stimulus that's not normally painful is termed
- wind-up pain.
- nociceptive pain.
- New communication between nerves that don't normally synapse with one another is known as
- neural plasticity.
- Dysesthesia may be described as
- an unpleasant sensation.
- increased pain from a normally painful stimulus.
- pain that results from nonneural damage to tissue.
- numbness or tingling.
- Which statement about neuropathic pain is true?
- It has a protective function for the body.
- It exists independent of a stimulus.
- It's psychosomatic.
- It can be caused by central nervous system damage.
- Central pain syndromes include
- phantom limb pain.
- postherpetic neuralgia.
- cancer-associated neuropathy.
- poststroke neuropathy.
- Common causes of neuropathic pain include all of the followingexcept
- HIV infection.
- bone fracture.
- Which adjective is a patient most likely to use to describe neuropathic pain?
- Neuropathic pain after a mastectomy is typically located in the
- contralateral arm.
- ipsilateral axilla.
- The mainstay of treatment for neuropathic pain is
- A first-line medication for the treatment of neuropathic pain is
- Which first-line medicationisn't recommended for older adults due to the risk of orthostatic hypotension?
- Gabapentin is an example of a(n)
- calcium channel alpha2-delta ligand.
- For the treatment of neuropathic pain, opioids are
- first-line medications.
- second-line medications.
- third-line medications.
- If the first medication chosen doesn't provide pain relief or increase functionality, the next step is usually to
- titrate the dose upward.
- combine two first-line medications.
- combine the first with a second-line medication.
- trial a second-line medication.
- Which drug is thought to produce desensitization for patients with postherpetic neuralgia?
- 8% capsaicin patch
- In a study by Chaparro et al., adding what type of drug to gabapentin provided improved pain relief over gabapentin alone?
- an opioid
- an antidepressant
- an antiepileptic drug
- topical lidocaine