To earn CME credit using the enclosed form, you must read the CME article and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 70% of the quiz questions correctly. Select the best answer and use a blue or black pen to completely fill in the corresponding box on the enclosed answer form. Please indicate any name and address changes directly on the answer form. If your name and address do not appear on the answer form, please print that information in the blank space at the top left of the page. Make a photocopy of the completed answer form for your own files and mail the original answer form in the enclosed postage-paid business reply envelope. Your answer form must be received by Lippincott CME Institute by November 30, 2017. Only two entries will be considered for credit.
Online CME quiz instructions: Go to http://cme.lww.com and click on "Newsletters," then select Topics in Pain Management. Enter your username and password. First-time users must register. After log-in, follow the instructions on the quiz site. You may print your official certificate immediately. Please note: Lippincott CME Institute, Inc., will not mail certificates to online participants. Online quizzes expire on the due date.
To earn nursing CNE credit, you must take the quiz online. Go to http://www.nursingcenter.com, click on CE Connection on the toolbar at the top, and select Browse by Journal. On the next page, select Topics in Pain Management.
Log-in (upper right hand corner) to enter your username and password. First-time users must register. After log-in, locate and click on the CE activity you are interested in. There is only one correct answer for each question. A passing score for this test is 7 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost. For questions, contact Lippincott Williams & Wilkins: 1-800-787-8985. The registration deadline for CNE credit is December 31, 2018.
1. Primary hyperalgesia is
A. pain sensitivity that occurs directly in the damaged tissues
B. pain sensitivity that occurs in surrounding damaged tissues
C. response to a painful stimulus
D. hyperalgesia to only mechanical stimuli
2. Opioid tolerance is different from opioid-induced hyperalgesia, in that typically pain is unchanged from original pain.
A. True
B. False
3. Which one of the following is an opioid agonist-antagonist that, in theory, provides analgesia with fewer side effects?
A. Nalbuphine
B. Acetaminophen
C. Piroxicam
D. Clonidine
4. Opioids interact with opiate receptors to produce analgesia in
A. the dorsal horns of spinal cord
B. periaqueductal gray region of the brainstem
C. GABA receptors
D. both A and B
5. Chronic neuropathic pain after burn injuries has been demonstrated to improve with
A. fat grafting
B. opioids
C. NSAIDs
D. both B and C
6. Background pain is constant pain that
A. increases with time
B. is constant over time
C. decreases with time
D. is not defined
7. Burn-related pain can be associated with:
A. anxiety
B. depression
C. neuropathic pain
D. all of the above
8. Burn patients have a period of increased analgesic need during the postoperative period before a return to the preoperative level. This period lasts for
A. 24 hours
B. 2 days
C. 1 to 2 weeks
D. 1 to 4 days
9. Nonpharmacologic approaches demonstrated to benefit treatment of burn-related pain include
A. hypnosis
B. cognitive behavioral techniques
C. operant learning
D. all of the above
10. Which one of the following statements regarding OIH is true?
A. Pain improves with increased opioid dose.
B. Pain is produced in one location and is less diffuse.
C. Pain response usually worsens with increased opioid dose.
D. Pain sensitivity increases.