Order The Development Of Peripheral Neuropathy

Order The Development Of Peripheral Neuropathy
Order 5948392
Order The Development Of Peripheral Neuropathy
1. A 38-year-old man with a history of HIV well managed on antiretroviral agents
presents with painful neuropathy in both feet. He describes the pain as burning
and constant. It gets worse when he does his job as a postal carrier. Initially he
responded to tramadol but no longer finds it helpful. Which of the following is
the next most appropriate step to manage this patient’s foot pain?
A. Further evaluate the patient’s antiviral regimen.
B. Initiate antiepileptic therapy.
C. Perform an ESI.
D. Initiate oxycontin.
2. 42. In a patient taking methadone, which of the following is most likely to
contribute to development of torsades de pointes?
A. Methadone dose of 10 mg a day
B. HIV
C. Male sex
D. Obesity
3. A lumbar sympathetic block is appropriate for diagnosis and/or treatment of all
the following conditions EXCEPT which one?
A. CRPS type I of the right calf
B. Phantom limb pain of the left lower extremity
C. PHN of the right thigh
D. Coccydynia
Order The Development Of Peripheral Neuropathy
4. Which of the following is the most likely cause of a “failed” spinal?
A. Resistance to local anesthetics
B. Displacement of the tip of a pencil-point needle
C. Dural ectasia
D. Use of lidocaine instead of bupivacaine
5. An otherwise healthy 42-year-old patient who has received a spinal anesthetic
for outpatient total knee arthroplasty reports severe pain in his legs and
buttocks. The pain began a few hours after surgery and has persisted on the
first postoperative day. Which medication was most likely used for the spinal
anesthetic?
A. Bupivacaine
B. Lidocaine
C. Bupivacaine and fentanyl
D. 2-Chloroprocaine
6. Six months after undergoing a right inguinal hernia repair, a 27-year-old man
presents to your office with continuing pain in the groin. He describes the pain
as a constant burning sensation that is also occasionally sharp. He has seen his
surgeon and does not have a recurrence of his hernia. Which of the following
nerve blocks might be helpful in diagnosing this condition?
A. Genitofemoral nerve block
B. Pudendal nerve block
C. Transversus abdominus plane (TAP) block
D. Lateral femoral cutaneous nerve (LFCN) block
7. The pudendal nerve can become entrapped at all the following locations
EXCEPT which one?
A. Inside the Alcock canal
B. Between the sacrospinous and sacrotuberous ligaments
C. Across the inner margin of the falciform process of the sacrotuberous ligament
D. Inside the deep inguinal ring
8. Which of the following nerve blocks is associated with a nearly 100% chance of
ipsilateral diaphragmatic palsy?
A. Superficial cervical plexus block
B. Infraclavicular block
C. Greater auricular nerve block
D. Axillary nerve block
Order The Development Of Peripheral Neuropathy
9. 49. Which one of the following is the benefit of transcutaneous electrical
stimulation (TENS)?
A. It can be applied by the patient at home.
B. It has shown to be effective for chronic pain management.
C. It is cost-effective.
D. It improves the level of disability due to back pain.
10. A 56-year-old type 1 diabetic man comes to your office to complaining of
bilateral “stocking distribution” neuropathy. When questioned about his glucose
control, the patient states that he normally maintains tight glucose control and
he follows a strict low-carbohydrate diet. Which of the following is not a risk
factor for the development of peripheral neuropathy?
A. Poorly controlled blood glucose
B. Duration of diabetes
C. Gender
D. Patient age
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