Pain management in surgical patients: Evidence-based Management Approaches for Vascular Surgery Post-Test (June 2022-2025)

Opioid prescribing is required after surgical procedures to maintain patient satisfaction and adequate pain control.*
- True
- False
Which one of the following statements is true about opioid prescribing after vascular procedures?*
- Opioid prescriptions are never needed.
- Patients take nearly all the opioids prescribed.
- Opioid exposure after surgery increases the risks of overdose and persistent opioid use at one year.
- Opioids are still required for most patients regardless of procedure.
Which one of the following statements is true about multi-modal analgesia?*
- Selecting a variety of analgesic options can reduce pain transmission, alter pain processing, and directly impact the source of pain.
- Opioids are a central part of a pain management plan.
- Patient and caregiver education does not impact pain management after procedures.
- Non-opioid options should only be added after opioids fail to provide adequate pain relief.
H.B. is being discharged after a carotid endarterectomy. H.B. has moderate pain and a remote history of a gastrointestinal bleed, no renal insufficiency or cardiovascular disease. He has received a nerve block for pain management while in the hospital. Which one statement about H.B.’s outpatient pain management strategy?*
- H.B. is not a candidate for scheduled ibuprofen and acetaminophen at discharge.
- H.B. can take ibuprofen as needed short-term along with acetaminophen every 6 hours.
- H.B. would best be managed with low-dose morphine.
- H.B. receive cognitive behavioral therapy.
Nerve blocks can relieve pain up to three days after some procedures.*
- True
- False
Patient J.K. has a history of opioid use disorder for which he is prescribed buprenorphine. He is scheduled to undergo a surgical procedure for which most patients report severe pain in the immediately post-operatively. Which of the following is the most appropriate step to take before surgery?*
- Have the patient hold their buprenorphine for two weeks before surgery to reduce tolerance
- Involve a pain management or addiction specialist in pre-operative planning
- Avoid performing a regional nerve block
- Provide a charcoal bag to dispose of any unused oxycodone tablets
Which one of the following statements is true about communication of pain management plans?*
- The inpatient team should huddle at least once daily to ensure the patient is taking their opioids appropriately.
- Counseling patients on pain management expectations only happens in pre-operative visits.
- The pain management specialist is required to ensure the team manages the patient’s pain appropriately.
- The pain management plan should be communicated between all providers from pre-operative to post-discharge settings, including patients and caregivers.
Patients should be discharged with a plan for stopping opioid medications, if provided an opioid prescription at discharge.*
- True
- False
Discussing naloxone is only required in patients with chronic pain.*
- True
- False
Patients should be instructed to dispose of unused opioids through DEA take back days or drop-off bins.*
- True
- False

Pain management in surgical patients: Evidence-based Management Approaches for Vascular Surgery Post-Test (June 2022-2025)

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