Pre-Course Self Assessment

This survey contains 28 questions. It will take approximately 10 minutes to complete. There is no time limit & your responses are not graded.

Email address:


(This will only be used to keep your responses together in our system. It won't be used outside the module or for any other purpose. Please use the same email address throughout the entire module)

Please mark whether you agree or disagree with each of the following statements about your current competencies:

I understand the physiological processes of pain including transduction, transmission, perception and modulation.

I feel it is important to provide pain medicine even if the patient is unconscious.

I provide combinations of both drug & nondrug treatments to all patients with pain.

I understand how to perform a comprehensive pain assessment.

I feel that a physician can tell if a patient is in pain by observing behavior & checking vital signs.

When assessing pain, I test for response to vibration & pinprick in the related body region.

I can list treatment goals for both acute & chronic pain.

I believe patients should be included in decisions about pain treatment.

I communicate & plan care with other members of the healthcare team.

I know how to choose an analgesic regimen based on the type(s) & intensity of pain.

It is best to treat with only one type of analgesic at a time.

I can put together & implement a rational multimodal treatment plan.

I know the indications & contraindications for interventional pain techniques such as injections & implanted pumps.

I believe active treatment should end if a patient is unable or unwilling to participate in meeting goals.

I refer patients to a specialist or other provider when I reach the limits of my competence or when patients desire referral.

I can outline the 7 elements of responsible opioid prescribing from the Federation of State Medical Board's Model Policy.

Any patient who is on opioids longer than 6 months is likely to develop addiction.

When a patient is receiving opioids I document with each visit the impact of treatment on analgesia, activities of daily living, adverse effects & any aberrant behaviors.

The most accurate indicator of the presence and intensity of pain is:


A clinical practice implication of peripheral and central sensitization is:




Which of the following is true?




Accurate record keeping and documentation of treatment is essential when prescribing controlled substances. What 4 outcomes of therapy should regularly be assessed and documented when prescribing opioids for pain control?




A reasonable standard for clinically meaningful pain relief is:





A special condition that calls for referral/consultation for appropriate pain management includes:




The optimal sensory examination to screen for functionality and integrity of large (A beta)/dorsal columns and small (A delta and C) nerve fibers/spinothalamic sensory tracts include:



Which of the following statements best describes treatment planning for chronic pain?




A 50-year-old male has persistent back pain from injuries received in a motor vehicle accident. He has been treated with hydrocodone/acetaminophen (10/325), one tablet four times a day for 6 weeks. He decides to cut the dose of his pain medication in half to see if he really needs it. Shortly thereafter, he begins to experience muscle aches, irritability and insomnia. His symptoms indicate he has developed:




Which of the following represents a best response to a patient who appears to have exaggerated pain behaviors during a physical exam?