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Living with the nightmare of neuropathic pain

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doi: 10.1097/01.NURSE.0000446628.32596.22
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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.

  1. CRPS II is distinguished from CRPS I by
    1. central nervous system structural reorganization.
    2. sympathetic nervous system dysfunction.
    3. enhanced peripheral neurogenic inflammation.
    4. the presence of a nerve lesion.
  2. A painful response to a stimulus that's not normally painful is termed
    1. allodynia.
    2. hyperalgesia.
    3. wind-up pain.
    4. nociceptive pain.
  3. New communication between nerves that don't normally synapse with one another is known as
    1. paresthesias.
    2. wind-up.
    3. crosstalk.
    4. neural plasticity.
  4. Dysesthesia may be described as
    1. an unpleasant sensation.
    2. increased pain from a normally painful stimulus.
    3. pain that results from nonneural damage to tissue.
    4. numbness or tingling.
  5. Which statement about neuropathic pain is true?
    1. It has a protective function for the body.
    2. It exists independent of a stimulus.
    3. It's psychosomatic.
    4. It can be caused by central nervous system damage.
  6. Central pain syndromes include
    1. phantom limb pain.
    2. postherpetic neuralgia.
    3. cancer-associated neuropathy.
    4. poststroke neuropathy.
  7. Common causes of neuropathic pain include all of the followingexcept
    1. HIV infection.
    2. bone fracture.
    3. diabetes.
    4. chemotherapy.
  8. Which adjective is a patient most likely to use to describe neuropathic pain?
    1. stabbing
    2. aching
    3. throbbing
    4. burning
  9. Neuropathic pain after a mastectomy is typically located in the
    1. contralateral arm.
    2. abdomen.
    3. neck.
    4. ipsilateral axilla.
  10. The mainstay of treatment for neuropathic pain is
    1. medication.
    2. meditation.
    3. yoga.
    4. acupuncture.
  11. A first-line medication for the treatment of neuropathic pain is
    1. oxycodone.
    2. tramadol.
    3. desipramine.
    4. citalopram.
  12. Which first-line medicationisn't recommended for older adults due to the risk of orthostatic hypotension?
    1. amitriptyline
    2. duloxetine
    3. venlafaxine
    4. pregabalin
  13. Gabapentin is an example of a(n)
    1. opioid.
    2. calcium channel alpha2-delta ligand.
    3. SNRI.
    4. TCA.
  14. For the treatment of neuropathic pain, opioids are
    1. first-line medications.
    2. second-line medications.
    3. third-line medications.
    4. contraindicated.
  15. If the first medication chosen doesn't provide pain relief or increase functionality, the next step is usually to
    1. titrate the dose upward.
    2. combine two first-line medications.
    3. combine the first with a second-line medication.
    4. trial a second-line medication.
  16. Which drug is thought to produce desensitization for patients with postherpetic neuralgia?
    1. lacosamide
    2. mexiletine
    3. 8% capsaicin patch
    4. dextromethorphan
  17. In a study by Chaparro et al., adding what type of drug to gabapentin provided improved pain relief over gabapentin alone?
    1. an opioid
    2. an antidepressant
    3. an antiepileptic drug
    4. topical lidocaine
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