PC707-module 5-Pain Exam Questions and
Answers with Verified Solutions | Latest
Updated 2026
In order to prescribe drugs, you DEA number
must have what?
If opioids are needed--how can -smallest dose for the shortest amount of
you time is
decrease the risk of dependence? advised*
Who can usually be consulted and -pain clinic
co-manage with if a patient is
using
long term opioids?
Types of pain: -Nociceptive
-Neuropathic
-Mixed or "undetermined etiology"
What is nociceptive pain? - pain that arises from damage to or
inflammation
of tissue
-Ex: arthropathies, ischemic disorders,
myalgias,
skin & mucous ulcers, fractures, renal
stones,
superficial pain (burns & scrapes), visceral
pain
(appendicitis, pancreatitis)
,What is neuropathic pain? - pain that arises from abnormal or
damaged pain
nerves (PNS or CNS)
-Ex: alcoholic or diabetic neuropathies,
cancer
pain, regional pain syndromes
(fibromyalgia), HIV,
MS, phantom limb pain, post herpetic
neuralgia,
trigeminal neuralgia, post CVA pain
What is mixed or undetermined -chronic reoccurring headaches
etiology pain? -vasculitis
What is acute pain? -sudden onset & short duration
What is chronic pain? -lasts 3-6 months or longer
What is the step-wise approach to -non-opioids first (NSAIDs,
pain management? nonpharmacologic
options)
-if pain persists or worsens--weak opioids
-if pain persists or worsens--strong opioids
-hopefully pain relief at this point--if not
potential
for nerve block, epidural, PCA pump, etc.
, Key points to remember about -oral analgesics first if possible*
pain -give doses at regular intervals & adjust
management: the dose
until the patient is comfortable
-prescribe according to pain intensity--it is
individualized*
-the correct dose is the one that brings
adequate
pain relief
-detailed written plan for patient and family
What is an opioid? -used for pain relief
-binds to opioid receptors primarily in the
CNS,
spinal cord, GI tract
-binds primarily to MU receptors and to
some
extent the KAPPA receptors*
What are the 4 types of pain -MU
receptors? -KAPPA
-Delta
-Sigma
What does the binding to MU -Analgesia*
receptors cause? What drugs bind -Respiratory depression*
primarily to these receptors? -Euphoria*
-Ex: morphine (Kadian), meperidine
(Demerol),
fentanyl (Sublimaze), hydromorphone
hydrochloride (Dilaudid) etc.
Answers with Verified Solutions | Latest
Updated 2026
In order to prescribe drugs, you DEA number
must have what?
If opioids are needed--how can -smallest dose for the shortest amount of
you time is
decrease the risk of dependence? advised*
Who can usually be consulted and -pain clinic
co-manage with if a patient is
using
long term opioids?
Types of pain: -Nociceptive
-Neuropathic
-Mixed or "undetermined etiology"
What is nociceptive pain? - pain that arises from damage to or
inflammation
of tissue
-Ex: arthropathies, ischemic disorders,
myalgias,
skin & mucous ulcers, fractures, renal
stones,
superficial pain (burns & scrapes), visceral
pain
(appendicitis, pancreatitis)
,What is neuropathic pain? - pain that arises from abnormal or
damaged pain
nerves (PNS or CNS)
-Ex: alcoholic or diabetic neuropathies,
cancer
pain, regional pain syndromes
(fibromyalgia), HIV,
MS, phantom limb pain, post herpetic
neuralgia,
trigeminal neuralgia, post CVA pain
What is mixed or undetermined -chronic reoccurring headaches
etiology pain? -vasculitis
What is acute pain? -sudden onset & short duration
What is chronic pain? -lasts 3-6 months or longer
What is the step-wise approach to -non-opioids first (NSAIDs,
pain management? nonpharmacologic
options)
-if pain persists or worsens--weak opioids
-if pain persists or worsens--strong opioids
-hopefully pain relief at this point--if not
potential
for nerve block, epidural, PCA pump, etc.
, Key points to remember about -oral analgesics first if possible*
pain -give doses at regular intervals & adjust
management: the dose
until the patient is comfortable
-prescribe according to pain intensity--it is
individualized*
-the correct dose is the one that brings
adequate
pain relief
-detailed written plan for patient and family
What is an opioid? -used for pain relief
-binds to opioid receptors primarily in the
CNS,
spinal cord, GI tract
-binds primarily to MU receptors and to
some
extent the KAPPA receptors*
What are the 4 types of pain -MU
receptors? -KAPPA
-Delta
-Sigma
What does the binding to MU -Analgesia*
receptors cause? What drugs bind -Respiratory depression*
primarily to these receptors? -Euphoria*
-Ex: morphine (Kadian), meperidine
(Demerol),
fentanyl (Sublimaze), hydromorphone
hydrochloride (Dilaudid) etc.
