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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