Familiar with the WHO pain ladder? Don’t worry you will be after this set of MCQs on pain control. If you are feeling good, challenge yourself with the bonus hard question at the end!
Reviewed by: awaiting review
Approach to Pain Control
Stem 1, question 1 of 5
Andi (they/them pronouns), presents to A&E following a bike crash. They are suspected of having a fractured femur and describes the pain as "sharp and excruciating".What nociceptive fibre is responsive for the type of pain Andi is experiencing?
A delta fibres
B omega fibres
B delta fibres
Stem 1, question 2 of 5
Andi is given co-codamol but is still in significant painAccording to the WHO pain ladder, what is the most appropriate analgesia to be given next?
Stem 1, question 3 of 5
After imaging is reviewed, it is determined Andi requires surgery under general anaestheticWhich of the following signs would indicate a pain response while under general anaesthesia?
Stem 1, question 4 of 5
Whilst under general anaesthesia, the anaesthetist decides to insert a nerve block for post-operative pain managementWhich nerve should be blocked?
Common fibular nerve
Stem 1, question 5 of 5
While on the ward, Andi is accidentally given an overdose of morphine. Their respiratory rate drops to 8 breaths a minute and they are unconscious.What drug(s) should be given?
Stem 2, question 1 of 3
Jasper, a 34 year old male, presents to A&E after falling over while playing tennis. His right ankle is very bruised, swollen, hot and "throbbing". He rates his pain as a 6/10. There are no fractures seen on lateral and AP radiographs.What class of drug would be most appropriate to manage his pain?
Neuropathic pain killers
Stem 2, question 2 of 3Which of the following are COX-2 selective NSAIDs?
Stem 2, question 3 of 3
6 months later, Jasper returns to his GP with shooting and burning pains around his ankle. The pain is episodic but worse at night. He is given pregabalin.What is the mechanism of pregabalin?
Enhancement of GABA function
Voltage gated sodium channel blockade
NMDA receptor blockade
Bonus challenge question
Amelia, a 54 year old female, is involved in a motorcycle versus car road traffic collision. The air ambulance team attends the collision site and the doctor suspects a fractured pelvis and femur with a suspected pneumothorax. She is in excruciating pain "10/10" and has a blood pressure of 86/50, despite active resuscitation. A decision is made to fly her to the nearest major trauma centre once she has adequate analgesia.What is the most appropriate analgesia for Amelia?