Submitted by Admin User on Thu, 03/05/2015 - 3:16pm Please identify the profession which best describes you. (select one) * Physician Dentist Physician Assistant Advanced Practice Nurse Optometrist Pharmacist Podiatrist Other Dentists: Please select the specialty that best describes you. (select one) Dental Public Health Prosthodontics General Dentistry Orthodontics and Dentofacial Orthopedics Endodontics Pediatric Dentistry Periodontics Oral and Maxillofacial Radiology Oral and Maxillofacial Pathology Oral and Maxillofacial Surgery N/A: I am not a dentist. Health Specialties: Please select the specialty that best describes you. Adolescent medicine Allergy/Immunology Anesthesiology Cardiology Colon and Rectal Surgery Critical Care Medicine Dermatology Developmental-behavioral Emergency medicine Endocrinology Family practice Gastroenterology Geriatric medicine Hematology and oncology Infectious disease Internal medicine Medical genetics Neonatal-perinatal medicine Nephrology Neurological surgery Neurology Nuclear medicine Obstetrics and Gynecology Ophthalmology Orthopaedic surgery Otolaryngology Pain Management Pathology (anatomic & clinical) Pediatrics Physical medicine & Rehab Plastic surgery Preventive medicine Psychiatry Pulmonology Radiation oncology Radiology-diagnostic Rheumatology Sports medicine Surgery-general Thoracic surgery Urology N/A: I am a dentist. Please specify the practice type that best fits your practice. (select one) * Primary care Pain specialist Non-pain specialist Which of the following best describes you? * I am registered with the DEA to prescribe Schedule 2 and/or 3 controlled substances AND HAVE written at least one ER/LA opioid script in the past year. I am registered with the DEA to prescribe Schedule 2 and/or 3 controlled substances AND HAVE NOT written at least one ER/LA opioid script in the past year. I am not registered with the DEA to prescribe Schedule 2 and/or 3 controlled substances but may be in the near future. I am not registered with the DEA to prescribe Schedule 2 and/or 3 controlled substances with no intention of doing so in the near future. Anna, a 57 year-old female with low back pain presents to your pain clinic. She describes sharp pain in the back down both legs that is continuous in naturePMH: bipolar disorder, depression and diabetic neuropathyPSH: lumbar laminectomy, lumbar discectomy x 2The patient describes no benefit in her symptoms after back surgeryMRI with/without contrast: L4/5 hemilaminectomy, scar tissue at L4/5, L5/S1 levels secondary to post-surgical changesUnchanged from prior MRI studiesThe patient has had epidural steroid injections without benefitShe is not interested in having spinal cord stimulationMedication history:The patient has been tried on hydrocodone/acetaminophen, gabapentin, pregabalin without benefitShe has been on duloxetine for her pain with a minimal degree of efficacyShe is taking paroxitene for her psychiatric issuesShe asks if there are any agents that would provide pain relief for her back issues and help with her diabetic neuropathy Which of the following agents would be of potential benefit to the patient accommodating her request? * Pregabalin Gabapentin Tapentadol Venlafaxine While you are out of town at a meeting a colleague prescribes tapentadol ER, while decreasing the duloxitene over a few weeks taper. The patient is continued on her paroxitene. A few days later, you are called by the emergency room as the patient has presented with irritability, flight of ideas, tachycardia, hypertension, headache, and muscle twitching. What is the most likely cause of the presentation? * Malignant hyperthermia Neuroleptic malignant syndrome Serotonin syndrome Opioid withdrawal Which of the following is not a risk factor for respiratory depression due to opioid use? * Patients with COPD Patients with obesity Elderly patients The female gender Patients with recent conversion to ER/LA opioids or transition from one opioid class to another Leave this field blank
