Maximizing Function and Managing Pain: Evidence-based, Non-opioid Care in Rheumatology Post-test | June 1, 2023-May 31, 2026

For a patient with pain and moderate, active rheumatoid arthritis, the most important disease modifying treatment is tramadol.*
- True
- False
Which one of the following statements best describes the management principles for pain in rheumatoid arthritis (RA)?*
- Pain will remit once RA is in remission.
- If pain persists after RA is in remission, think about overlapping conditions such as fibromyalgia.
- Treatment of pain in patients with RA only requires analgesic medication.
- Setting treatment goals should include remission or lowest disease activity possible and using pain medications to eliminate all pain.
Which one of the following non-pharmacologic interventions offers the highest likelihood of improved function and reduced pain in RA?*
- Mindfulness meditation
- Yoga
- Weight loss for overweight or obese patients
- Transcutaneous electric nerve stimulation (TENS)
Which one of these statements regarding pharmacologic management of pain in RA is true?*
- NSAIDs work well to reduce pain.
- Opioids, like oxycodone, are safe and effective for long-term pain control.
- Tricyclic antidepressants are highly effective and safe, particularly in older adults.
- Pregabalin is a well-studied way to reduce pain in RA.
Which of the following statements best describes non-pharmacologic management of osteoarthritis?*
- Staying active with exercise and movement-based activities, like physical therapy or tai chi, are effective for reducing pain and improving function.
- Self-management education classes are the primary means of addressing pain or improving function in patients with osteoarthritis.
- Mindfulness meditation has strong evidence that shows a reduction in pain intensity.
- Weight loss has no role in reducing pain in patients with osteoarthritis who are overweight.
Which of the following statements is true regarding managing fibromyalgia?*
- Exercise and maintaining a healthy weight can help patients manage fibromyalgia.
- Duloxetine is the only effective pharmacologic option for the treatment of fibromyalgia.
- A transcutaneous electrical nerve stimulation device is an effective option for treating fibromyalgia.
- Due to the nature of fibromyalgia, non-pharmacologic therapies have no role in treatment.
Which of the following statements is true regarding the management of patients prescribed opioids?*
- The benefits of opioid therapy should outweigh the many risks.
- Extended-release/long-acting opioids provide better pain control compared to immediate release opioids.
- Naloxone has no role to prevent opioid overdose for older patients on stable doses of opioids.
- Prescribing opioids beyond 30 days is unlikely to lead to long-term use.
All patients who receive an opioid prescription should also receive education about safe storage, disposal options, and naloxone (if risk factors for overdose are present).*
- True
- False

Maximizing Function and Managing Pain: Evidence-based, Non-opioid Care in Rheumatology Post-test | June 1, 2023-May 31, 2026

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