FREE ABPN Basic Questions And Answers

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

Correct! Wrong!

Explanation:
It is possible to have chronic back pain without any morphologic changes.

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

Correct! Wrong!

Explanation:
The initial dosage is 75 mg BiD but you should have an idea within 10X the correct doses.

Which of the following is NOT TRUE about tramadol?

Correct! Wrong!

Explanation:
The maximum dosage is 400 mg/day.

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

Correct! Wrong!

Explanation:
For a brief treatment, IV is recommended: 500 mg IV/IM tid for three days, followed by 500 mg IV/IM daily for five days, then oral therapy if symptoms have improved.

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

Correct! Wrong!

Explanation:
Alcohol dehydrogenase downregulation is not the cause of alcohol's acute toxicity. Alcohol's depressive effects on the central nervous system are the main cause of acute toxicity, which can result in respiratory depression, decreased

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

Correct! Wrong!

Explanation:
The above statements are true. Gabapentin requires renal adjustment; its onset of effect is 2-3 weeks; its trial period is 3-8 weeks; and its titration plan is 300 mg at bedtime on day 1, 300 mg twice daily on day 2, and 300 mg three times daily on day 3.

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.

Correct! Wrong!

Explanation:
The ascending pain pathway is used to transmit pain from nerves to the thalamus through the dorsal horn, whereas the descending pain pathway (from the brain to the dorsal horn) uses signals to modify activity to control pain transmission.

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

Correct! Wrong!

Explanation:
One tool for determining the severity of alcohol withdrawal symptoms is the Clinical Institute Withdrawal Assessment for Alcohol, updated, or CIWA-Ar. It is a standardized diagnostic tool that aids medical practitioners in assessing and tracking the symptoms that people going through alcohol withdrawal encounter.

The CIWA-Ar score is used to determine how to treat sedative and hypnotic withdrawal, which is different from alcohol withdrawal.

Correct! Wrong!

Explanation:
The basis for treating sedatives and hypnotics is based on the agent of abuse. Alcohol has a 48–72 hour lag in delirium; sed/hyp may act more quickly).

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.

Correct! Wrong!

Explanation:
Proper administration every 12 hours and the patch can be cut to fit the site.

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

Correct! Wrong!

Explanation:
Pharmacology side effects of constipation are a result of action on the mu receptor.

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