1. Which of the following is NOT one of the identified barriers to effective pain management of cancer patients?

A. Poor assessment of pain by health care professionals.
B. Fear by patients that they will be thought of as a drug addict.
C. Inadequate reimbursement for cancer pain treatment.
D. Increased potential for metastatic activity caused by opiate based medications.

2. A patient has been assessed using the Edmonton Staging System for Cancer Pain. Their scores are as follows: A3, B1, C2, D1, E2, F1, G2. What is this patient’s prognosis for effective pain management?

A. Good
B. Intermediate
C. Poor
D. Unable to determine


3. Which medication is NOT classified as a Step 1 analgesic?

A. Fentanyl
B. Anaprox
C. Dolobid
D. Toradol


4. The most commonly used opiod for management of cancer pain is ______.

A. Hydromorphone
B. Morphine
C. Oxycodone
D. Methadone


5. Patients who take controlled-released oxycodone typically experience initial relief in ___ hour(s), and peak relief in ___ hours.

A. 1, 2-3
B. 2, 3-5
C. 3, 5-7
D. 4, 7-9


6. Which of the following is NOT a recommended route of administration for opioid medications?

A. Rectal
B. Transdermal
C. Parenteral
D. Intramuscular

7. Which of the following is NOT a common side effect of opioids?

A. Cognitive impairment
B. Respiratory depression
C. Bradykinesia
D. Constipation


8. Which of the following statements is TRUE?

A. Cryotherapy is recommended for decreasing the inflammation over areas treated with radiation therapy.
B. During periods of acute pain, exercise should be limited to therapist performed passive range of motion.
C. During periods of immobilization, joints should be positioned to maintain maximal range of motion.
D. TENS is a low risk intervention for patients with cancer


9. Which of the following is NOT an example of a cognitive-behavioral intervention technique?

A. Acupuncture
B. Slow rhythmic breathing
C. "Ball of energy" imagery
D. Praying


10. Which of the following statements is FALSE?

A. NSAIDS are more likely to cause renal toxicity in older patients.
B. Older patients tend to be more sensitive to the central nervous system depressant effects of opioids.
C. Geriatric patients tend to have a relatively fast drug clearance and may require higher initial dosing of parenteral infusions.
D. Reassessment of pain status and appropriate plan modifications should be made whenever an elderly patient changes living environments.