Pain Management Jeopardy Single Jeopardy Double Date Jeopardy
Pain Management Jeopardy Single Jeopardy Double Date Jeopardy Final Jeopardy
SINGLE JEOPARDY Double Jeopardy Scheduling Conflicts Methadone & Methadon’t Crazy Calculations Side Effect Central Potpourri 100 100 100 200 200 200 300 300 300 400 400 400 500 500 500 Final Jeopardy
Of Schedule I, III, IV, or V, the class to which hydrocodone-acetaminophen belongs Topic I 100 Question
III Topic I 100 Answer Go To Single Jeopardy
Number of refills you can (not should) authorize for Robitussin AC Topic I 200 Question
11 Topic I 200 Answer Go To Single Jeopardy
This Schedule II medication is contraindicated in patients with renal failure Topic I 300 Question
Morphine Topic I 300 Answer Go To Single Jeopardy
Of Schedule I, III, IV, or V, the class to which marijuana belongs Topic V 400 Question
I Topic I 400 Answer Go To Single Jeopardy
One situation in which fax or call-in of a Schedule II medication is permitted Topic I 500 Question
Emergency prescription (paper rx must be submitted within 7 days) -Hospice patient (Medicare or state-certified hospice) Topic I 500 Answer Go To Single Jeopardy
One EKG finding which would stop you from prescribing methadone Topic II 100 Question
Prolonged QT interval Topic II 100 Answer Go To Single Jeopardy
One safe starting dose for methadone in an otherwise healthy non-elderly patient – whether they’ve been on opiates before or not Topic II 200 Question
5 mg BID Titrate to TID after a week Topic II 200 Answer Go To Single Jeopardy
One class of pain medications which can cause the same EKG anomaly as methadone Topic II 300 Question
TCAs Topic II 300 Answer Go To Single Jeopardy
Of nociceptive, neuropathic, or both, the type of pain which methadone has been shown to affect Topic II 400 Question
Both Topic II 400 Answer Go To Single Jeopardy
Methadone, when combined this class of medication, is responsible for more opiate overdoses in the state of Virginia than any other Topic II 500 Question
Benzodiazepenes Topic II 500 Answer Go To Single Jeopardy
When switching opiates, you may want to undershoot the new dose by 25% for this reason Topic III 100 Question
Incomplete cross-tolerance Topic III 100 Answer Go To Single Jeopardy
In patients with kidney or liver problems, one of two things you can adjust to keep them safe Topic III 200 Question
Dose-adjust Use longer dosing intervals Topic III 200 Answer Go To Single Jeopardy
Of percents or milligrams, the preferred unit for titrating opiates Topic III 300 Question
Percents Topic III 300 Answer Go To Single Jeopardy
Mr. J is a cancer patient on long acting oral morphine 90 mg every 12 hrs. He develops esophageal candidiasis and can’t swallow his meds. His hourly PCA dose would be this much IV morphine. Topic III 400 Question
2. 4 mg Topic III 400 Answer Go To Single Jeopardy
A 72 yo F with recent compression fracture is taking 8 oxycodone 5 mg per day. She does not feel tired or constipated on this regimen. The medicine helps her pain, but wears off after 3 hrs. Convert her to Oxy. Contin. Topic III 500 Question
Oxy. Contin 20 mg BID Topic III 500 Answer Go To Single Jeopardy
This common GI side effect of opiates merits prophylaxis in almost all patients, especially those who are bedbound or can’t communicate Topic IV 100 Question
Constipation Topic IV 100 Answer Go To Single Jeopardy
This hormone is often found to be low in men who have taken opiates long term, sometimes requiring medication Topic IV 200 Question
Testosterone Topic IV 200 Answer Go To Single Jeopardy
Of morphine, codeine, or fentanyl, the opiate least likely to cause pruritis Topic IV 300 Question
Fentanyl Topic IV 300 Answer Go To Single Jeopardy
The term that describes decreased effectiveness of pain relief over time in someone who has been on an opiate Topic IV 400 Question
Tolerance Topic IV 400 Answer Go To Single Jeopardy
One opiate-related pain medication with addictive potential not tracked by the Virginia PMP Topic IV 500 Question
Tramadol Topic IV 500 Answer Go To Single Jeopardy
Of adaptive or maladaptive, the characteristic that defines nociceptive pain Topic V 100 Question
Maladaptive Topic V 100 Answer Go To Single Jeopardy
One adjective used to describe neuropathic pain Topic V 200 Question
Burning Sharp Lancinating Tingling Numb Lightening-like Topic V 200 Answer Go To Single Jeopardy
One low back pain red flag which would prompt emergent referral Topic V 300 Question
Loss of bowel/bladder continence Saddle parasthesias Leg weakness Topic V 300 Answer Go To Single Jeopardy
The CNS symptom which always precedes respiratory depression in patients on narcotics Topic V 300 Question
Sedation Topic V 400 Answer Go To Single Jeopardy
One good indication for using opiates in chronic nonmalignant pain Topic V 500 Question
- Failure of adequate trials and doses of nonopiate therapy - Contraindications to nonopiate therapy - Improvement in function on opiates Topic V 500 Answer Go To Single Jeopardy
Final Jeopardy DOUBLE JEOPARDY Nutritional Deficiency Dementia & Name that Rash Delirium Part Deux Obstetrics Movies 200 200 200 400 400 400 600 600 600 800 800 800 1000 1000
Glossitis, anemia, and neural tube defects Topic VI 200 Question
Folate Topic VI 200 Answer Go To Double Jeopardy
Easy and excessive bleeding and bruising Topic VI 400 Question
Vitamin K Topic VI 400 Answer Go To Double Jeopardy
Hypothyroidism, cretinism, fatigue Topic VI 600 Question
Iodine Topic VI 600 Answer Go To Double Jeopardy
Night blindness and xerophthalmia Topic VI 800 Question
Vitamin A Topic VI 800 Answer Go To Double Jeopardy
Dermatitis, diarrhea, and dementia Topic VI 1000 Question
Niacin (vitamin B 3) Topic VI 1000 Answer Go To Double Jeopardy
Which is the most common cause of dementia: 1. ) Alzheimer’s disease 2. ) Drug-induced dementia 3. ) Multi-infarct dementia Topic VII 200 Question
Alzheimer’s dementia Topic VII 200 Answer Go To Double Jeopardy
The most important first investigation for patients suspected to have delirium is: 1. ) CBC 2. ) MRI 3. ) EEG Topic VII 400 Question
CBC Topic VII 400 Answer Go To Double Jeopardy
What is the most common treatable condition that is often confused with Alzheimer’s disease? Topic VII 600 Question
Depression Topic VII 600 Answer Go To Double Jeopardy
What is the most important risk factor for developing Alzheimer’s disease? Topic VII 800 Question
Family history of dementia Topic VII 800 Answer Go To Double Jeopardy
This class of medications is the primary treatment for patient’s with Alzheimer’s disease. Topic VII 1000 Question
Cholinesterase inhibitors (ie: donepezil, rivastigmine) Topic VII 1000 Answer Go To Double Jeopardy
Topic VIII 200 Question
Impetigo and S. aureus Topic VIII 200 Answer Go To Double Jeopardy
Topic VIII 400 Question
Tinea versicolor (pityriasis versicolor) and Malassezia furfur Topic VIII 400 Answer Go To Double Jeopardy
Topic VIII 600 Question
Herpes zoster (shingles) and Varicella zoster virus Topic VIII 600 Answer Go To Double Jeopardy
Topic VIII 800 Question
Scarlet fever and Group A strep Topic VIII 800 Answer Go To Double Jeopardy
Topic VIII 1000 Question
Smallpox and Variola virus Topic VIII 1000 Answer Go To Double Jeopardy
What is the recommended weight gain in pregnancy for “normal weight” women? (Normal weight = 90 – 135% IBW) Topic IX 200 Question
25 – 35 pounds (Underweight = 28 – 40 pounds) (Overweight = 15 – 25 pounds) Topic IX 200 Answer Go To Double Jeopardy
Which of the following vaccine combinations would be safe to give a pregnant woman? 1. ) Hep B and Varicella 2. ) Rubella and Tetanus 3. ) Meningococcal and Hep B Topic IX 400 Question
Meningococcal and Hep B Topic IX 400 Answer Go To Double Jeopardy
What is the drug of choice for severe hyperemesis gravidarum? Topic IX 600 Question
Metoclopramide Topic IX 600 Answer Go To Double Jeopardy
What shape pelvis is the most common and most functional for delivery? Topic IX 800 Question
Gynecoid (android, platypelloid, and anthropoid are the other shapes) Topic IX 800 Answer Go To Double Jeopardy
What test can be performed to differentiate fetal from maternal blood? Topic IX 1000 Question
Kliehauer-Betke test Topic IX 1000 Answer Go To Double Jeopardy
Topic X 200 Question
Patch Adams Topic X 200 Answer Go To Double Jeopardy
Topic X 400 Question
M*A*S*H Topic X 400 Answer Go To Double Jeopardy
Topic X 600 Question
Cider House Rules Topic X 600 Answer Go To Double Jeopardy
Topic X 800 Question
One Flew Over the Cuckoo's Nest Topic X 800 Answer Go To Double Jeopardy
Topic X 1000 Question
Flatliners Topic X 1000 Answer Go To Double Jeopardy
FINAL JEOPARDY The Big Picture
If you are treating pain correctly, your patient will probably report a decrease in pain, but an increase in this
Function
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