Adjuvant analgesics may be used alone or alongside other analgesics, but they are not interchangeable for every pain condition.
5 Adjuvant Medications for Pain Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Adjuvant Medications for Pain, test your knowledge, and prepare for your next test or exam.
A person has neuropathic pain but is not being treated for depression. Which statement about antidepressants is supported?
- A
Antidepressants such as duloxetine or amitriptyline may help neuropathic pain, even when depression is not being treated.
- B
Antidepressants are appropriate for pain only when the person is being treated for depression.
- C
Antidepressants are interchangeable with every other adjuvant medication for any pain condition.
Besides pain improvement and adverse effects, what aspect of a person's life should be reassessed to judge whether a pain plan is helping?
A person taking an SNRI for neuropathic pain reports a new symptom. Which effect is identified as a possible adverse effect of this medicine class?
- A
Dry mouth and sleepiness are the listed examples of common SNRI effects.
- B
Nausea or dizziness can occur with SNRIs.
- C
SNRIs cannot cause adverse effects if used for pain.
Topical lidocaine or capsaicin may help peripheral nerve pain and can reduce compared with an oral medicine.
Prolonged corticosteroid use can cause serious effects, so treatment should be monitored by a clinician.
- A
True
- B
False
An older adult taking a tricyclic antidepressant (TCA) for pain becomes sleepy and dizzy. What safety concern is especially relevant?
- A
The TCA's sleepiness or dizziness may increase fall risk, particularly in an older adult.
- B
TCAs are known to prevent falls in older adults.
- C
A TCA is risk-free for an older adult if it is being used for pain rather than depression.
What corticosteroid is given as an example of a medicine that may be used in selected cases when swelling or inflammation contributes to pain?
Which statements about gabapentin and pregabalin are supported? Select all that apply.
- A
Dizziness or sleepiness may occur.
- B
Swelling may occur.
- C
The dose may need adjustment for kidney function.
- D
For people with risk factors, combining one of these medicines with an opioid or another central nervous system depressant can increase the risk of serious breathing problems.
- E
These medicines cannot affect alertness.
- F
Kidney function never needs to be considered when using these medicines.
A person should not increase, combine, or stop prescription medicines without advice from the .
A person taking pregabalin with an opioid is unusually difficult to wake and has slow, shallow breathing. What is the appropriate response?
- A
Wait until the next routine appointment, since sleepiness is always harmless.
- B
Stop all prescription medicines without contacting a clinician.
- C
Seek urgent medical attention for unusual extreme sleepiness, difficulty waking, or slow, shallow, or difficult breathing.
- D
Take an additional dose of the pain medicine to counteract the symptoms.
When a clinician is developing an adjuvant medication plan, which actions are supported? Select all that apply.
- A
Match the medicine to the suspected pain mechanism.
- B
Review the person's health, other medicines, and treatment goals.
- C
Reassess meaningful improvement in pain and daily function.
- D
Reassess adverse effects.
- E
Assume one adjuvant is appropriate for every person and pain condition.
- F
Stop assessing treatment once the medicine has been started.
A person has cancer that has spread to bone. Which statement about bone-targeted treatment in the pain plan is supported?
- A
It is a routine substitute for all other analgesics, without further assessment.
- B
A clinician may consider bone-targeted treatment as part of the pain plan, with condition-specific assessment and monitoring.
- C
It is appropriate for any kind of pain, regardless of its cause.
- D
It removes the need to review the person's overall treatment plan.
A person has localized peripheral nerve pain and troublesome effects from oral medicines. Describe a topical option a clinician might consider, explain one potential advantage compared with an oral medicine, and give important safe-use precautions.
A person has neuropathic pain but is not being treated for depression. Which statement best describes the potential role of an antidepressant such as duloxetine?
- A
They are appropriate only when pain is caused by depression.
- B
They may help neuropathic pain even when the person is not being treated for depression.
- C
They are used only to reduce inflammation around a tumor.
- D
They are used only when topical analgesics have caused skin irritation.
A person has pain limited to a small area affected by peripheral nerve symptoms and has troublesome effects from oral medicines. Which statement best supports considering a topical analgesic?
- A
They are intended only for widespread pain because they increase whole-body exposure.
- B
They replace the need to assess the cause of pain.
- C
They may help localized peripheral nerve pain and can reduce whole-body exposure compared with an oral medicine.
- D
They are used only when pain is caused by swelling from cancer.
A patient with cancer has pain that appears to be worsened by swelling. Which statement best describes the possible role of a corticosteroid such as dexamethasone?
- A
They may be considered in selected cases when swelling or inflammation contributes to pain.
- B
They are routine substitutes for all other analgesics.
- C
They are used only for pain caused by nerve damage.
- D
They are appropriate for every kind of pain without monitoring.
A clinician is reviewing gabapentin dosing for a patient with reduced function of an organ that affects dose adjustment for this medicine. Which organ function should be reviewed?
True or false: A clinician may consider duloxetine for neuropathic pain even when the person is not being treated for depression.
- A
True
- B
False
Before increasing, combining, or stopping a prescription pain medicine, whose advice should a patient seek?
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