FREE ABPN Basic Questions And Answers

Question 1

By the use of the descending pain pathway, the dorsal horn facilitates the transmission of signals from peripheral nerves to the thalamus in response to noxious stimuli.

Accepted Answer

False

Answer

True

Question 2

Which of the following statements of the many forms of chronic pain is NOT TRUE?

Accepted Answer

Only morphologic changes are observed in cases of chronic back pain.

Answer

Microvasculature vasoconstriction leads to diabetic neuropathy.

Answer

The "tingling" sensation is caused by neurons that have become hypersensitive as a result of demyelinated axons and changes in sodium receptor concentrations.

Answer

Neuralgia postherpetic might persist for years.

Answer

All of the above.

Question 3

Which of the following descriptions of Neurontin, or gabapentin is NOT TRUE?

Accepted Answer

All of the above.

Answer

Renal adjustment is required

Answer

Titration- Day 1- 300mg at bedtime; Day 2- 300mg BiD; Day 3- 300mg TiD

Answer

Common ADE- Dizziness, somnolence

Answer

Onset of action = 2-3 weeks, Trial requires = 3-8 weeks

Question 4

Which of the following statements regarding Lyrica, or pregabalin is NOT TRUE?

Accepted Answer

Starting dose - 500mg/day; Titration-Within 1 week

Answer

Maximum dosages based on the indication

Answer

Requires renal adjustment

Answer

Patients at risk of cardiovascular disease should use this medication with caution since there is a possibility of peripheral edema.

Answer

All of the above.

Question 5

Applying a 5% patch, which can be cut to fit the administration site, once a day is part of the proper lidocaine patch administration protocol.

Accepted Answer

False

Answer

True

Question 6

Which of the following is NOT TRUE about tramadol?

Accepted Answer

Titrate up as tolerated

Answer

Lower chance of respiratory depression

Answer

Non-controlled substance

Answer

Epileptogenic risk

Answer

All of the above.

Question 7

Constipation is the pharmacologic side effect of opioid receptors (mu, kappa, and delta) based on the action of the delta receptor.

Accepted Answer

False

Answer

True

Question 8

Which of the tools listed below is used to evaluate how severe the symptoms of alcohol withdrawal are?

Accepted Answer

CIWA-Ar

Answer

McGill

Answer

NIH Consensus Scale

Answer

COWS

Answer

All of the above.

Question 9

Which of the following claims regarding alcohol's PK and PD is NOT TRUE?

Accepted Answer

Alcohol dehydrogenase's downregulation causes acute toxicity.

Answer

Alcohol attaches itself to the GABA receptor's benzodiazepine site.

Answer

Long-term alcohol use causes glutamate hypersensitivity.

Answer

Prolonged open chloride ion channel times are the eventual result.

Answer

All of the above.

Question 10

Which of the following claims about Wernicke's Encephalopathy (WE) is NOT TRUE?

Accepted Answer

Although there are no set rules, it is preferable to use IV therapy with a continuous infusion of 2000 mg for more than 60 minutes.

Answer

WE is caused by a thiamine deficit brought on by alcohol misuse.

Answer

Characterized by neurological issues such as ataxia of the gait, disorientation, and ophthalmoplegia (impaired eye movement).

Answer

Korsakoff's Syndrome deteriorating is one of the complications of WE.

Answer

When WE is suspected, treatment should start immediately even before probable test findings.