A patient has a mild ankle sprain, no signs of serious injury, and no known contraindication to nonopioid treatment. Which initial plan best reflects multimodal care?
6 Safe and Multimodal Pain Management Online Quiz Questions
Use this free practice quiz with 20 questions to review 6 Safe and Multimodal Pain Management, test your knowledge, and prepare for your next test or exam.
Taking two NSAIDs together is a safe way to improve pain relief.
- A
True
- B
False
A person using several products should check their active ingredients because may appear in combination medicines; excessive total amounts can cause serious .
Besides antidepressants, which medicine class may be used as an adjuvant for certain neuropathic pain conditions? Enter the class name.
A patient with chronic knee pain reports pain of 7/10. Which follow-up question best helps assess whether the treatment plan is meeting the patient’s needs?
- A
Ask whether the patient can tolerate the pain without medication.
- B
Ask what activity the patient would most like to do more comfortably.
- C
Ask whether the patient would like a stronger opioid.
- D
Ask whether the pain is always exactly a 7.
Select all statements that accurately describe multimodal pain care.
- A
Care may combine condition-appropriate medicines with nonmedicine strategies.
- B
Nonopioid medicines may be appropriate for many common acute pain conditions.
- C
Selected adjuvant medicines may be part of care for some pain conditions.
- D
Every patient should receive the same fixed combination of treatments.
A patient who may be physically dependent on an opioid should stop it abruptly as soon as treatment concerns arise.
- A
True
- B
False
When initiating opioid therapy, which formulation type does guidance favor when an opioid is appropriate? Enter the formulation type.
To reduce medication-related harm, store opioid medicine securely away from and arrange for any unused medicine.
Which factors can increase overdose risk for a patient taking an opioid? Select all that apply.
- A
A history of overdose.
- B
Concurrent benzodiazepine use.
- C
Sleep-disordered breathing.
- D
Use of only a topical nonopioid medicine.
When an opioid is appropriate for acute pain after considering the patient’s circumstances, which prescribing principle is safest?
- A
Use the lowest effective dose for no longer than the expected duration of severe pain, with follow-up and clear instructions.
- B
Prescribe an extended-release opioid first to prevent all pain.
- C
Refill automatically without reassessing pain, function, or adverse effects.
- D
Tell the patient to take extra doses if the prescribed amount is not enough.
A patient taking an opioid for pain is also prescribed a benzodiazepine and gabapentin. What is the safest response?
- A
Reassure the patient that prescribed medicines cannot cause harm when combined.
- B
Review the full medication and substance-use picture with prescribers or a pharmacist, discuss increased sedation and breathing risks, and make a coordinated safety plan.
- C
Advise the patient to double the opioid dose if pain breaks through.
- D
Tell the patient to stop all three medicines immediately.
After naloxone is given for a suspected opioid overdose, emergency evaluation is still needed because naloxone may wear off before the opioid.
- A
True
- B
False
A patient with persistent low-back pain says an opioid “takes the edge off,” but they remain unable to sleep or walk comfortably and report constipation and daytime drowsiness. What should the care team do next?
A person who took an opioid cannot be awakened and is breathing slowly. What medication should a bystander give if it is available while calling 911?
Why should a patient check the active ingredients in multiple medicines before taking them together?
- A
Using several products that contain acetaminophen can lead to an excessive total amount.
- B
Taking acetaminophen with an NSAID always causes kidney failure.
- C
Taking acetaminophen from multiple products is safe as long as each product is used as directed.
- D
Acetaminophen is found only in single-ingredient products.
A patient uses several over-the-counter products for different symptoms and is considering adding another pain reliever. Which action best helps prevent accidental excessive acetaminophen use?
- A
Check the active ingredients in all products and ask a pharmacist or clinician if unsure whether they contain the same ingredient.
- B
Assume products sold for different symptoms cannot contain the same medicine.
- C
Combine products containing acetaminophen whenever pain remains.
- D
Use another person’s prescription to avoid taking overlapping ingredients.
A patient with diabetic neuropathy describes burning, electric-like pain. Name one type of adjuvant medicine that may be considered for certain neuropathic pain conditions.
If opioid therapy is appropriate and a clinician is initiating it, which formulation is favored?
- A
Choose an extended-release opioid when starting therapy to prevent all pain.
- B
Choose an immediate-release opioid when initiating therapy, if an opioid is appropriate.
- C
Use someone else’s opioid prescription if it is immediate-release.
- D
Use an extended-release opioid first whenever pain is acute.
Which patient taking an opioid particularly merits discussion of overdose prevention and access to naloxone?
- A
A patient with a previous overdose who also takes a benzodiazepine.
- B
A patient using only a topical nonopioid medicine.
- C
A patient asking how to store medication safely.
- D
A patient with pain who has no opioid prescription.
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