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Question 1: A 25 year-old male shows up in the ED with complaints of nausea, vomiting, agitation, diarrhea, and muscle aches.He reports that 6 months ago his physician started him on oxycodone but he ran out of medication 2 days ago. Is this life threatening, and what should you use to treat it?

  1. This is life threatening and he should be admitted to the intensive care unit for close monitoring.

  2. This is life threatening and he should be started on a morphine drip immediately.

  3. This is not life threatening and he should be started on a morphine drip immediately.

  4. This is not life threatening and treatment is supportive care including clonidine.

  5. This is not life threatening and he should be discharged for outpatient behavioral health evaluation.

 

References: Nicholls L, Bragaw L, Ruetsch C. Opioid dependence treatment and guidelines. Manag Care Pharm. 2010 Feb;16(1 Suppl B):S14-21.

Question 2: A patient presents with acute onset pain and weakness. You order an EMG to confirm. What do you expect the results to show? You order an MRI, one of the images is provided below. You identify pathology on this sagittal and axial MRI, which you feel is concordant with the patient’s location of pain and weakness.

 

  1. Chronic L4 radiculopathy

  2. Diffuse peripheral neuropathy

  3. Acute left L5 radiculopathy

  4. Acute right S1 radiculopathy

  5. Right lumbosacral plexopathy

 

Pain Medicine Board Review Questions

We offer more than 700 Pain Medicine Certification Review / Board Review questions. Each question includes an answer, detailed explanation, and learning tips (where appropriate). Questions are based on the ABPM and ABA pain medicine certification content outlines and are written by multiple MDs who completed the certification exams.

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This is a good question bank, the questions are reflective of the knowledge needed to pass the pain boards.” - George Chang Chien, MD, Pain Medicine Fellow at Cleveland Clinic