September 19, 2019 Muskegon Treating Pain & Addiction Post-training Survey of Knowledge & Evaluation

POST-TEST SURVEY

Please complete the following post-training survey to help us assess your knowledge of the foundations of pain management after completing the training.

IMPORTANT!!
Once you complete the post-training survey and evaluation and click FINISHED, you will be able to view your test results. After viewing your results, click DONE and you will be redirected to a web-page to download your continuing education certificate.

If you have difficulties completing this survey or are unable to download your continuing education certificates, contact Amy Wales at amy.wales@miccsi.org or 616-551-0795 ext. 11

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* 1. Personal Information

First Name

Last Name

Credential

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* 2. Please choose your organization from the choices below:

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* 3. Please choose your role:

Provider (MD, DO, PA-C, NP, etc.)

Nurse Care Manager/Care Coordinator

Social Worker Care Manager/Care Coordinator

Behavioral Health Specialist

Pharmacist

Other Clinical (CMA, RMA, etc.)

Non-Clinical (Practice Manager, Support Staff, etc.)

Leadership

Other (please specify)

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* 4. On a scale of 1-5 please rate your confidence in managing or working with chronic pain patients.

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* 5. After attending this training, the approach that best describes how I will manage and work with chronic pain patients is:

I will manage patients myself

I will refer patients to a specialist

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* 6. Fibromyalgia or centralized pain patients are more frequently diagnosed with:

A. Irritable bowel syndrome

B. Tension headache

C. Temporomandibular disorder

D. Chronic fatigue syndrome

E. All the above

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* 7. Regarding the interplay between fibromyalgia and depression, which statement is not true

A. The rate of depression in fibromyalgia patients is somewhat higher than other chronic pain syndromes, but not overly so

B. All antidepressants are effective in fibromyalgia

C. The analgesic response to the drug is independent of the antidepressant response (i.e. people without depression respond just as well as those with depression)

D. Depression and fibromyalgia share similar neurotransmitters leading to many people having both conditions

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* 8. Classes of drugs that have been shown to be efficacious in fibromyalgia and other central pain states include:

A. Opioids

B. Compounds that raise both serotonin and norepinephrine

C. NSAIDs

D. Alpha -2- delta ligands (e.g. gabapentin, pregabalin)

E. B and D

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* 9. Drugs that are generally effective in peripheral/nociceptive pain states include which of the following:

A. NSAIDs

B. Opioids

C. Acetaminophen

D. Tramadol

E. All of the above

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* 10. All antidepressants are effective analgesics

True

False

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* 11. Central nervous system neurotransmitter abnormalities that are present in fibromyalgia include all of the following except:

A. Low serotonin and norepinephrine

B. High Glutamate

C. Low GABA

D. High Nerve growth factor

E. Low endogenous opioids

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* 12. Cannabinoids have generally been shown to be safe and effective in treating neuropathic pain and fibromyalgia

True

False

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* 13. The clinical features of centralized pain include:

A. Multifocal pain

B. Fatigue

C. Sleep disturbances

D. Sensitivity to sensory stimuli

E. All of the above

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* 14. When individuals develop centralized pain, their pain is generally less responsive to:

A. Opioids

B. NSAIDs

C. Injections

D. Surgical procedures

E. All of the above

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* 15. Opioids are generally the most effective treatment for severe chronic pain

True

False

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* 16. Neuroimaging studies suggest that chronic pain…

A. is primarily a sensory event

B. contains more affect than sensory aspects

C. does not exist – brains of people with chronic pain look like healthy normal people

D. is the same as depression

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* 17. Which of the following symptoms use the same neurotransmitters and brain pathways as pain processing?

A. Affect

B. Sleep

C. Memory

D. Fatigue

E. All of the above

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* 18. Which statement(s) are true about Chronic Overlapping Pain Conditions (COPCs)?

A. Central sensitization is thought to be the mechanism behind COPCs

B. Osteoarthritis is a form of COPC

C. COPCs respond well to surgery and opioid therapy

D. A & C are correct

E. A,B, & C are correct

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* 19. Which statement(s) are true about Biopsychosocial factors and pain?

A. Psychological factors only become clinically relevant when there is a co-morbid depression or anxiety disorder present

B. If surgery or opioids don’t help with pain, you are likely dealing with a psychiatric disorder

C. A biomedical approach should always be tried first given the evidence is strongest for this approach to pain

D. All of the above are true

E. None of the above are true

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* 20. Combining analgesics that work by different mechanisms (e.g., combining an NSAID with an opioid) may result in better pain control for acute nociceptive pain.

True

False

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* 21. Benzodiazepines are not effective pain relievers and are rarely recommended as part of an analgesic regimen

True

False

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* 22. Anticonvulsant drugs such as gabapentin (Neurontin) produce optimal pain relief after a single dose

True

False

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* 23. Following abrupt discontinuation of an opioid, physical dependence is manifested by the following:

A. Sweating, yawning, diarrhea and agitation with patients when the opioid is abruptly discontinued.

B. Impaired control over drug use, compulsive use, and craving

C. The need for higher doses to achieve the same effect

D. All of the above

E. None of the above

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* 24. Regarding opioids the following are true

A. Wean individuals by decreasing morphine equivalent by 25 percent every two days

B. Use the Chronic Opioid Withdrawal Symptom score to keep individuals in the mild category.

C. Do not decrease opioids faster than every four weeks

D. Opioids and benzodiazepines are widely considered to be safe to use together

E. C and D

F. All of the above

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* 25. Severe joint arthritis on x-ray or MRI almost always leads to severe chronic pain unless surgical intervention is done

True

False