Self-Assessment Test

Self-Assessment TestPostoperative Pain Management: Overview of Clinical and EconomicConsiderationsThis activity is located at http://www.ashpadvantage.com/painThis self-assessment test has been provided as a study aid only.At the conclusion of the internet-based activity, click on “Take Post-test”to proceed to the ASHP CE Center and take the online activitypost-test. You may print your CPE statement immediately after successfulcompletion of the post-test and evaluation.There is a total of 9 questions associated with this self-assessment test.Self-assessment Questions1. As shown in a study by Dasta et al., each additional day in the intensive care unit after thefirst day costs approximatelya. $2000-3000.b. $4000-5000.c. $6000-7000.d. $8000-9000.2. A shift in care from deep to light sedation in patients in the intensive care unit (ICU) hasbeen shown to result ina. Increased length of stay in ICU.b. Decreased time on ventilator.c. No change in time with delirium.d. Decreased mortality.3. How does the cost of opioid-associated adverse drug events in orthopedic surgery and inobstetrics-gynecology (OB-GYN) procedures compare?a. Higher for orthopedic surgery.b. Higher for OB-GYN procedures.c. About the same for orthopedic surgery and OB-GYN procedures.4. Hospital costs in patients developing primary postoperative ileus compared with patientswho do not develop this disorder are higher by a factor ofa. One.b. Two.c. Four.d. Eight.1

Self-Assessment TestPostoperative Pain Management: Overview of Clinical and EconomicConsiderationsThis activity is located at http://www.ashpadvantage.com/pain5. The multimodal analgesia approach to the management of acute postoperative paingenerally results in all of the following EXCEPTa. Reduced doses of each analgesic.b. Improved pain relief secondary to synergistic or additive effects of differentmedications.c. More analgesia gaps.d. Reduced severity of adverse effects of individual medications.6. Which of the following statements best describes why a multimodal analgesic approach tothe management of acute postoperative pain provides improved pain relief?a. Uses medications with different mechanisms of action to alter or inhibit various painpathways.b. Uses medications with similar mechanisms of action to alter or inhibit one pain pathwaycompletely.c. Maximizes the use of medications indicated for moderate or severe pain.d. Eliminates the need for medications indicated for moderate or severe pain.7. Which of the following statements best summarizes the outcomes of clinical trials involvingthe administration of intravenous nonsteroidal anti-inflammatory drugs (NSAIDs) as part ofa multimodal analgesic regimen compared with opioids alone?a. Decreased opioid requirements and increased safety in patients with renal impairment,thrombocytopenia or active gastrointestinal bleeding.b. Decreased opioid requirements and decreased incidence of adverse effects.c. No change or increased opioid consumption and increased incidence of adverse effects.d. No change in opioid consumption and more gastrointestinal adverse effects.8. Which of the following statements best describes the role of intravenous acetaminophenfor the management of postoperative pain?a. Offers no advantages compared with intravenous NSAIDs and should be avoided in thepostoperative period because it may increase the risk of postoperative bleeding.b. Offers no advantage over rectal acetaminophen and should be reserved for patientswith coagulopathies who cannot be administered rectal medications.c. May be safely used in patients with severe liver impairment.d. May be used as alternative to intravenous NSAIDs and as alternative for oral and rectalacetaminophen.2

Self-Assessment TestPostoperative Pain Management: Overview of Clinical and EconomicConsiderationsThis activity is located at http://www.ashpadvantage.com/pain9. Which of the following statements best describes the role of injectable local anestheticoptions in the management of postoperative pain?a. Injectable local anesthetics usually eliminate need for analgesic supplement.b. Single injection peripheral nerve blocks result in less pain, earlier ambulation, andgreater patient satisfaction compared with continuous peripheral nerve blocks.c. The use of elastomeric balloon infusion devices for local anesthetic administrationrequires physician, nurse, and pharmacist education and policy development forpreparation and profile documentation.d. Liposomal bupivacaine for intradermal administration has been shown to have equalefficacy to continuous peripheral nerve blocks.3