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Vet 292
Pain Management and Anakgesia
| Question | Answer |
|---|---|
| Phototherapy can be used for | All of the above |
| The sciatic nerve block provides analgesia to the | The stifle (partial) and the structures distal to it |
| Which of the following is an example of an opioid agonist | Morphine |
| When should therapeutic ultrasound not be used | When the patient's area of interest has plastic or metal implants |
| How painful is abscess drainage | Mild |
| For which kind of pain would an interpleural block be recommended | Pancreatic pain |
| Myofascial pain syndrome entails the palpation of | Taut bands and trigger points |
| Which of the following is a benefit of cryotherapy | Decreased production of pain mediators, leading to analgesia |
| Which of the following statements can apply to an intratesticular block | Intratesticular blocks can be used in canine and feline orchiectomies |
| The University of Melbourne Pain Scale is based on | Behavioral and physiologic responses |
| In cats, some diseases cause behavioral changes that are often ascribed to "old age" rather than pain. Examples include all of the following except | Basal cell tumor |
| How painful is a thoracotomy | Severe |
| Which of the following classes of drugs would include gabapentin | Antiepileptics |
| Which of the following is a contraindication for acupuncture | All of the above |
| An example of a proprioception exercise used for cats is | Balance board |
| When should cryotherapy be applied for best response | All of the above |
| Which of the following behaviors is commonly associated with clinical signs of pain in dogs | Panting, anorexia, and depression |
| Many veterinary technicians are asked to calculate and administer constant rate infusions because patients can benefit immensely. Which of the following statements is not a benefit of a CRI | CRIs allow the veterinary technician to leave the practice for the evening while administering medication continuously |
| Massage techniques may include | All of the above |
| Which of the following statements is not true regarding acupuncture | Acupuncture relies on nonspecific identification of the structures responsible for generating pain |
| When a veterinary technician is trying to distinguish pain from dysphoria, which of the following would the technician do | Speak in low tones and interact with the animal to make the patient feel better, but behavior resumes when interaction stops |
| Which of the following is not true for passive range of motion | The patient's position is unimportant |
| Which of the following are three examples that are all considered chronic pain diseases | Osteoarthritis, IVDD, cancer |
| During cryotherapy, the cold temperature raises the activation threshold of | Tissue nociceptors |
| Examples of complementary therapy for pain management include | All of the above |
| Treatment for joint mobility includes | a and b |
| Which of the following is an example of an active range of motion exercise | All of the above |
| Which organization requires pain to be included in every veterinary patient assessment regardless of a presenting complaint | American Animal Hospital Association |
| Veterinary technicians that advocate pain management are most closely compared with which group of nurses | Human neonatal and pediatric nurses |
| Which of the following is the target tissue for lengthening a muscle that is contracted | Muscle belly |
| Therapeutic exercises do not include | Pulling or carrying weights |
| For which of the following would a brachial plexus block provide analgesia | Distal to the elbow |
| Which of the following scenarios is thermotherapy not useful for | Acute inflammation |
| An example of an agent that is only administered topically and provides analgesia is | EMLA cream |
| Which of the following characteristics do cats exhibit when they are experiencing pain | Resentment of being handled, aggression, and abnormal posture |
| A mental nerve block provides analgesia to the | Lower lip and incisors on the ipsilateral side |
| Prostaglandins play an important role in | Mammalian renal physiology |
| The preemptive scoring system is a | Subjective scoring system |
| During hospitalization, how often should a pain assessment be performed | Every 4-6 hours |
| Extracorporeal shock wave treatment (ESWT) could be indicated for | Osteoarthritis |
| Transcutaneous electrical nerve stimulation is a form of | NMES |
| Massage is an example of which type of rehabilitation technique | Manual therapy |
| In a diffusion catheter, the MILA Soaker Catheter delivers the local anesthetic how | All of the above |
| Which of the following describes a myofascial trigger point | A painful area of sustained muscle contraction that cannot easily self-release |
| Caution should be used with cryotherapy if a patient has | b and c |
| Which guidelines have elevated pain to the fourth vital sign | AAHA/AAFP Pain Management Guidelines for Dogs and Cats |
| The Colorado State University Veterinary Medical Center Acute Pain Scale uses which of the following options as an indication of pain | Numeric and categoric convenient pain scales |
| In cats, aquatic therapy is contraindicated for | Cardiac dysfunction |
| Which of the following examples does acupuncture usually involve | The insertion of thin, sterile needles into specific anatomic sites richly supplied with nerve endings |
| What kind of scale is a visual analog scale (VAS) | Subjective |
| Regarding the use of pain scales in hospitalized animals, which of the following statements is false | A low pain score indicates that analgesic therapy is sufficient, even if an animal is exhibiting some questionable behaviors |
| What is the correct sequence of steps to the pain pathway | Transduction, transmission, modulation, perception |
| When should low-level laser therapy not be used | Over areas of malignancy or cancer |
| For which of the following can the lidocaine patch be used to provide analgesia | All of the above |
| The purpose of any pain scale is to | Help guide analgesic, medical, or surgical treatment |
| It is sometimes difficult to distinguish normal from pain-associated behavior in cats and dogs. Which of the following is most likely to be a normal, nonpainful behavior | Stretching all four legs when the abdomen is touched |
| Which of the following is essential for good communication between veterinarians and veterinary technicians who are working in pain management | Knowledge of the physiology of pain and the pharmacology of analgesics |
| An epidural injection in a dog is injected between | L7 and S1 |
| The observer's subjective interpretation of behavior and assessment of physiologic pain can be described using a pain-rating instrument such as | Visual analog scale |
| The veterinary technician can play an important role in pain management by | Communicating directly with the clinician about particular concerns |
| Which of the following might a dysphoric or delirious animal experience because of opioid overdose | Only rare response to soothing interaction |
| Which of the following is an NMDA antagonist medication | Ketamine |
| Cold or white skin after a 20-minute cryotherapy session may indicate | Possible cold-induced tissue damage |
| Which of the following statements regarding pain assessment in dogs is true | Multidimensional pain scales yield better interobserver agreement than unidimensional pain scales |
| The primary benefit of cryokinetics is to | Aid the patient's ability to perform pain-free, low-level exercise |
| How can pain negatively impact the patient | Pain promotes inflammation, which delays wound healing |
| Nociception is defined as | The activity in the peripheral pathway that transmits and processes information about the stimulus to the brain |
| Which tool is used to measure passive range of motion in companion animals | Goniometer |
| Visceral pain is quite common among companion animals. Which of the following is not an example of visceral pain | Osteosarcoma |
| Which of the following describes "wind-up" | The perceived increase in pain intensity with time when a given painful stimulus is delivered repeatedly in excess of a critical rate |
| Cryotherapy can include | All of the above |
| The role of the veterinary technician in pain management includes | All of the above |
| Why are the differences in expression among dogs and cats of all ages, and variations among certain breeds, important for pain assessment | Certain breeds vocalize and appear more sensitive to pain whereas others seem to remain stoic in the face of pain |
| How painful is an ovariohysterectomy | Moderate |
| Which of the following is the most common sign of osteoarthritic pain in cats | Reduced frequency of jumping up to high places |