Order The World Health Organization Assignment

Order The World Health Organization Assignment
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Order The World Health Organization Assignment
1. A patient with metastatic prostate cancer complains of back pain. He is found
to have metastases to his vertebral bodies. He has no neurologic deficits. Which
of the following is the first-line definitive treatment for this pain?
A. Physical therapy
B. Glucocorticoids
C. Radiation therapy
D. Surgical decompression
2. Which of the following would you expect to see in a patient receiving
continuous thoracic epidural analgesia as compared with one receiving PCA
with morphine after undergoing open nephrectomy?
A. Faster return of bowel function
B. Comparable requirements for antiemetic medications
C. Inferior pain control at the surgical site
D. Similar patient satisfaction
3. 23. An immunocompromised patient undergoing treatment for lymphoma
presents to the emergency department with altered mental status. He has
recently tested positive for coccidiomycosis, and there is a concern that he has
a disseminated infection. He undergoes a lumbar puncture, which is negative.
His mental status clears later that night, but 2 days later he returns to the
emergency department with a positional headache, consistent with a postdural
puncture headache (PDPH). Every time he sits up, he reports severe pain and
nausea. He fails treatment with rest, intravenous fluids, and medications. Which
of the following epidural injections is most appropriate?
A. Normal saline
B. Autologous blood
C. Allogeneic blood
D. Autologous blood with fibrin glue
Order The World Health Organization Assignment
4. A patient with unresectable pancreatic cancer presents for a celiac plexus
block. Which of the following organs or structures does not receive innervation
from the celiac plexus?
A. Biliary tract
B. Mesentery
C. Descending colon
D. Adrenal glands
5. A patient with unresectable pancreatic cancer presents for celiac plexus
neurolysis via a posterior approach. He asks what the risks of the procedure
are. Which of the following is the most common complications?
A. Constipation
B. Lower-extremity paralysis
C. Anterior abdominal pain
D. Orthostatic hypotension
6. When used for neurolytic blocks, compared with ethanol, which of the following
is true about phenol?
A. Painless on injection
B. More effective
C. Provides a longer duration of block
D. More likely to cause hypotension
7. According to the World Health Organization (WHO) pain ladder, what is the
next treatment step for a patient who has inadequate pain control for back pain
secondary to metastatic prostate cancer after trying Tylenol, ibuprofen, aspirin
as well as multiple nonnarcotic adjuvant pain medications such as gabapentin,
tizanidine, and lidocaine patches?
A. Paracetamol
B. Fentanyl patch
C. Tramadol
D. Morphine
8. Which of the following statements is most consistent with the WHO pain
A. The oral form of analgesics should be used over other forms whenever possible.
B. Analgesics should be given only as needed.
C. Standardized dosing of opioids should be used for adult patients.
D. Treatment of cancer pain should begin with an opioid medication.
Order The World Health Organization Assignment
9. 29. All of the following are part of the diagnostic criteria for fibromyalgia
EXCEPT which one?
A. Allodynia to digital pressure at 11 or more of 18 anatomically defined tender
B. A history of widespread pain for at least 3 months
C. A history of sleep disturbance
D. A history of radicular pain in both arms and legs
10. Which of the following medications has been shown to be efficacious in the
treatment of fibromyalgia?
A. Duloxetine
B. Amitriptyline
C. Pregabalin
D. Hydrocodone
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