Please note new address to mail tests to: EMS World Magazine, CE Review, 1233 Janesville Ave., Ft.

Atkinson, WI, 53538

EMS World Magazines CE Review offers affordable continuing education credits. Read the CE article in the July 2013 issue of EMS World Magazine or online at EMSWorld.com, then answer the test questions below, marking your answers in the answer strip on page two. You can also complete the test and course evaluation online to receive immediate CE credit. For more information, visit www.rapidce. com. The test is worth 1 hour of credit approved by the Continuing Education Coordinating Board for EMS (CECBEMS). The cost to take the test is $6.95. Check the correct answers and mail the entire page opposite, along with your payment of $6.95 and a self-addressed, stamped envelope, to: EMS World Magazine, CE Review, 1233 Janesville Ave., Ft. Atkinson, WI, 53538. Photocopies are acceptable. Allow eight weeks for test processing. Payment can be made by check or credit card. There will be a charge for returned checks. This test expires July 1, 2016. Please complete the appropriate method of payment information on the test. Questions? E-mail editor@EMSWorld. com.

1. Charlie has been experiencing gnawing pain in his right knee ever since his knee replacement nine weeks ago. This pain is making his rehabilitation difficult and requires regular analgesia. Charlies pain is considered a. emergent. b. chronic. c. subacute. d. acute. 2. Chronic pain is defined as episodic or persistent pain that lasts greater than a. 1 week. b. 1 month. c. 3 months. d. 1 year. 3. Which form of pain is commonly associated with acute musculoskeletal injuries? a. Visceral b. Somatic c. Phantom d. Psychogenic 4. Youre evaluating Irenes complaint of severe pain in her abdomen stemming from her history of hepatitis. She states the pain has grown in intensity over the past several weeks and describes the pain in vague terms saying her stomach feels intense burning all over. The pain isnt relieved with repositioning and there is some right upper quadrant tenderness upon palpation. What is the best term to describe this pain? a. colicky b. somatic c. visceral d. hepatic 5. Pain associated with fibromyalgia can be best described as a. intense and localized. b. sporadic and painful muscle spasms. c. vague and generalized stiffness and burning. d. constant stabbing and needle prickling.

6. The leading cause of disability for individuals less than 45 years of age is a. motor vehicle collisions. b. malignancy. c. accidental overdoses. d. chronic back pain. 7. Severe lower back pain that shoots down one or potentially both legs is caused by sciatica which is the a. Hyperextension of the lumbosacral nerve root. b. Compression of the lumbosacral nerve root. c. Rupture of an intervertebral disk. d. Destruction of the neurovascular bundle. 8. Diabetic neuropathy affects nearly ____ of all diabetics. a. 10% b. 25% c. 50% d. 75% 9. Edith has called 9-1-1 because of unrelenting discomfort. Upon your arrival she is rubbing her hands and legs saying she hurts all over. Her daughter tells you that Edith as recently diagnosed with neuropathy. You anticipate that Edith describes her pain as a. dull and throbbing. b. spastic in nature. c. Intense stabbing. d. burning and tingling. 10. Stephanie has been complaining about a sore jaw for several months. She describes her discomfort as a dull ache on the right side of her face that is exacerbated by chewing and excessive speaking, which is ironic since she cant seem to quit complaining about how much it hurts. Even though she denies trauma there is some warmth and tenderness on exam. You suspect that she may be experiencing a. Temporomandibular joint syndrome. b. Sinusitis c. Severe tooth cavities. d. Peritonsilar abscess.

11. The preferred front line chronic pain drug is a. aspirin. b. ibuprofen. c. acetaminophen. d. naproxen. 12. A drug that enhances the effectiveness of an analgesic is known as a a. potentiator. b. synergistic drug. c. pseudoanalgesic. d. coanalgesic. 13. Miguel is living with his children after suffering from a devastating motor vehicle collision during which he lost one leg and the other was horribly mangled. Even though the accident was 9 months ago Miguels pain is so severe that he doesnt have the energy or strength to leave the house. His family called 9-1-1 for help with pain control today as currently Miguel cant even get up to go to the bathroom. On the Chronic pain grading system, Miguels current pain would be considered a a. 2a b. 2b c. 3 d. 4 14. Patricia is 92 years old and takes analgesics daily after having three knee replacements (two were on the same leg) and she was left with chronic leg discomfort. When taking her medicines she lives a nearly normal life and can walk a mile at a time with only mild additional discomfort and swims two miles without increased pain. She states that after rest her legs are quite stiff and her pain is always a 4. Based on this you might rate her pain a ___ on the chronic pain grading system. a. 0 b. 1 c. 2a d. 2b

15. An effective non-pharmacologic method for managing a patients chronic pain is a. providing additional padding during transport. b. rapid transport to the closest hospital. c. oxygen via non-rebreather mask. d. use of a placebo drug to test how real a patients pain is.

CHRONIC PAIN

ALS Questions
16. Pain caused by the excessive heating or cooling of a nerve fiber what kind of pain? a. Nociceptive b. Non-nociceptive c. Visceral d. Colicky 17. Pain originating in the central nervous system that is difficult to quantify or describe is known as a. nociceptive. b. non-nociceptive. c. visceral. d. colicky. 18. Single high-volume dose administration of morphine to geriatric patients increases the risk for a. addiction. b. miss-use. c. delirium. d. dementia. 19. Lipophilic drugs are dissolved in a. muscle. b. adipose. c. proteins. d. plasma. 20. When managing a patient who is experiencing a severe breakthrough of chronic pain, its reasonable to anticipate that the patient will require a. a normal EMS analgesic drug dose. b. up to 10% of their daily analgesia to control the pain. c. higher analgesic doses at decreased frequencies. d. no analgesia until ED arrival.

ONLINE TESTING NOW AVAILABLE

EMS World Magazine, in conjunction with CentreLearn, now offers readers the ability to take the CE test online and immediately download their CE certificate at www.rapidce.com. Each online test is $6.95. Questions? E-mail editor@EMSWorld.com.

Please be advised that we require you to submit all requested information in order for this test to be processed. If required information is not submitted, we will not be able to process your test.
Answers to Chronic Pain CE Review, EMS World Magazine, July 2013. This test expires July 1, 2016.

Choose your appropriate license level: BLS ALS

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