Anaesthesia and pain management
General Surgery · Topic 11
Source: NMC CBME Curriculum 2024 · Volume III · General Surgery · Topic 11 · combined PDF page 405
Practice questions
- In the randomized trial of ultrasound-guided PENG block for acute hip-fracture pain, which population was studied?
- What was the primary outcome in the emergency-department trial comparing PENG block with intravenous morphine?
- At 30 minutes, what was the reported median reduction in VNRS pain score in the PENG-block group compared with the intravenous-morphine group?
- Which interpretation best reflects the trial's adjusted repeated-measures analysis?
- Which statement about rescue analgesia in the PENG-versus-morphine trial is correct?
- The PENG trial analyzed 34 patients, with 17 in each group. Which conclusion is most appropriate when applying its findings?
- Which comparator and dose were used in the PENG-block trial?
- A 72-year-old patient with an acute hip fracture and VNRS pain score of 7 presents to an emergency department. Which statement most accurately connects this case to the PENG trial?
- The MIH systematic review included which type of primary study?
- Which age range was represented in the MIH systematic review's eligible population?
- Which two interventions were described as having low-certainty evidence of potentially reducing intra-operative pain in MIH-affected teeth?
- What did the MIH review conclude about pre-emptive ibuprofen and cryotherapy?
- How did the systematic review characterize the findings for photobiomodulation in MIH-related dental pain?
- Which review finding most directly explains why the MIH intervention results require cautious interpretation?
- A clinician reads that 4% articaine may reduce intra-operative pain in MIH. Which conclusion is best supported by the review?
- Which combination correctly describes the methods used by the MIH systematic review to assess reporting, risk of bias, and evidence certainty?
- Which statement correctly distinguishes the review's GRADE assessment from its risk-of-bias assessment?
- Which clinical feature is part of the reported characterization of congenital insensitivity to pain with anhidrosis (CIPA)?
- A child with CIPA has recurrent oral ulceration but does not report pain. Which interpretation is most appropriate?
- Which statement about the dental treatment described in the CIPA case report is accurate?
- What is the most appropriate inference from the use of general anaesthesia for dental procedures in the reported child with CIPA?
- Why was longitudinal dental surveillance important in the reported child with CIPA?
- Which additional features were included in the supplied description of CIPA besides lack of pain sensation and anhidrosis?
- Which statement best captures the evidence-based implication of recurrent oral trauma in a patient with CIPA?