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 May 31, 2019. 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, select Browse Newsletters, and select Topics in Pain Management.
Log-in (upper right hand corner) to enter your username and password. First-time users must register. As a subscriber benefit, nurses can earn contact hours when taking CE activities from Topics in Pain Management for free. You must enter your subscription number preceeded by LWW, in your registration profile where there is a field for Link to my subscription. The 100% discount is applied when payment is requested. Non-subscribers pay a $49.00 fee to earn ANCC contact hours for this activity.
After log-in, locate and click on the CE activity in which you are interested. There is only one correct answer for each question. A passing score for this test is 7 correct answers. If you fail, you have the option of taking the test again. When you pass, you can print your certificate of earned contact hours and access the answer key. For questions, contact Lippincott Professional Development: 1-800-787-8985. The registration deadline for CNE credit is June 5, 2020.
1. Which one of the following statements regarding complex regional pain disorders istrue?
A. It is always associated with a nerve injury.
B. It typically affects women more often than men.
C. Young children are primarily affected.
D. Surgery is the most common precipitating event.
2. Risk factors for CRPS include which one of the following?
A. Immobilization
B. Low socioeconomic status
C. Male
D. History of anxiety disorder
3. Temperature asymmetry, skin color changes, and skin color asymmetry are which one of the following types of signs?
A. Sensory
B. Vasomotor
C. Sudomotor/edema
D. Motor/trophic
4. Which one of the following cell types is thought to be specifically involved in the pathogenesis of CRPS?
A. Eosinophils
B. Red blood cells
C. Basophils
D. Mast cells
5. Which one of the following types of spontaneous pain spreading is most common in patients with CRPS?
A. Mirror-image
B. Widespread
C. Contiguous
D. Another site
6. Which one of the following pharmacologic agents isnotrecommended for long-term treatment of CRPS?
A. Gabapentin
B. Tricyclic antidepressants
C. Carbamazepine
D. Corticosteroids
7. According to a recent meta-analysis, which one of the following agents is recommended early in treatment?
A. Bisphosphonates
B. Calcitonin
C. NMDA analogs
D. Prednisone
8. In a pilot study evaluating the efficacy of ultrasound-guided stellate ganglion blocks for CRPS of the hand,
A. mild complications occurred in less than 5% of patients
B. an overall mean reduction of 63.2% was observed for spontaneous pain
C. a 75% improvement in evoked pain was observed
D. less than 10% of patients had major complications
9. A recent systematic review of IV therapies for CRPS demonstrated which one of the following?
A. Compelling evidence that bisphosphonates should be recommended as first-line treatment
B. Strong evidence to support mannitol for CRPS.
C. A lack of high-quality studies on IV therapies.
D. Not enough evidence to support a recommendation on the use of IVIG
10. In a recent pilot study of CSG versus CIBP block in management of CRPS,
A. CIBP provided a significant reduction in pain during the first 12 hours compared with CSG
B. the CSG group demonstrated significant improvement at 1 week compared with the CIBP group
C. at 1 month, the CSG group demonstrated significant improvement compared with the CIBP group
D. at 1 month, the CIBP group had a significant reduction in pain compared with the CSG group