Module test - CHSS eLearning

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Each of the Managed Clinical Networks (MCNs) in Scotland will be given the names of those who have been awarded Module Test Certificates within their areas. We do not collect or share information on the number of times a person attempts the Test, or where a certificate is not awarded.
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This is the module test for 'Pain management following stroke'. It is strongly recommended that you work though the learning materials of the module prior to commencing this test. By going straight to the test you may miss out on valuable learning contained within the module. The answers to all the test questions are contained within the module. This information may have been provided in the 'Additional Information' boxes on some of the pages.

There are 20 questions and you must answer all of these correctly to obtain a certificate of completion.

You should allow approximately 20 minutes to complete this test.

Pain Management: Module test – Part 1. Q. Stroke-related headache is usually on the opposite side to the infarct or haemorrhage.*
- True
- False

Part 1. Answer.

Unfortunately, you have answered part 1 incorrectly. Revise the learning materials for Pain Management following stroke.
Part 1. Answer.

Well done, this statement is false.

Pain Management: Module test – Part 2. Q. Which of the following statements are true? Choose all that apply:*
- Select All
- A. Headache occurs in about 70% of patients with ischaemic stroke
- B. Headache is more common in posterior than in anterior stroke
- C. Headache after stroke is commoner in younger than in older patients
- D. Severe headache after stroke is usually associated with a poor outcome

Part 2. Answer.

Unfortunately, you have answered part 2 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Pain management following stroke.
Part 2. Answer.

Well done, B and C are correct.

Pain Management: Module test – Part 3. Q. What factors could result in post-stroke headache? Choose all that apply: (Select all that apply)*
- Select All
- A. Hospital food
- B. Dipyridamole
- C. Bright light
- D. Anxiety

Part 3. Answer.

Unfortunately, you have answered part 3 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Pain management following stroke.
Part 3. Answer.

Well done, B, C and D are correct.

Pain Management: Module test – Part 4. Q. What questions might you want to ask a stroke patient complaining of headache? Choose all that apply: (Select all that apply)*
- Select All
- A. Where is the headache?
- B. How severe is it?
- C. Is the headache new since the stroke or is it a regular occurrence?
- D. Is there anything that makes the headache better or worse?

Part 4. Answer.

Unfortunately, you have answered part 4 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Pain management following stroke.
Part 4. Answer.

Well done, all of the above are correct.

Pain Management: Module test – Part 5. Q. Post-stroke headache is usually worst one month after stroke onset.*
- True
- False

Part 5. Answer.

Unfortunately, you have answered part 5 incorrectly. Revise the learning materials for Pain Management following stroke.
Part 5. Answer.

Well done, this statement is false.

Pain Management: Module test – Part 6. Q. What is the most appropriate analgesia for post-stroke headache? (Select all that apply)*
- Select All
- A. Ibuprofen
- B. Morphine
- C. Paracetamol
- D. Cocodamol

Part 6. Answer.

Unfortunately, you have answered part 6 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Pain management following stroke.
Part 6. Answer.

Well done, C is correct.

Pain Management: Module test – Part 7. Q. Clinical psychology may work alongside the multidisciplinary team to help a stroke patient manage their headache and engage in rehabilitation.*
- True
- False

Part 7. Answer.

Unfortunately, you have answered part 7 incorrectly. Revise the learning materials for Pain Management following stroke.
Part 7. Answer.

Well done, this statement is true.

Pain Management: Module test – Part 8. Q. How can the MDT help with post-stroke headache? (Select all that apply)*
- Select All
- A. Use distraction techniques
- B. Reassure
- C. Ignore it and it might go away
- D. Promote self-management

Part 8. Answer.

Unfortunately, you have answered part 8 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Pain management following stroke.
Part 8. Answer.

Well done, A, B and D are correct.

Pain Management: Module test – Part 9. Q. What percentage of people who have had a stroke experience CPSP?*
- A. 1-2%
- B. 5-20%
- C. 20-25%
- D. 50-55%

Part 9. Answer.

Unfortunately, you have answered part 9 incorrectly. Revise the learning materials for Pain management following stroke.
Part 9. Answer.

Well done, the correct answer is B.

Pain Management: Module test – Part 10. Q. Which of the following describes allodynia?*
- A. A response to painful stimuli
- B. A pain response to previously innocuous stimuli
- C. An increased pain sensation to painful stimuli
- D. Pain that occurs spontaneously

Part 10. Answer.

Unfortunately, you have answered part 10 incorrectly. Revise the learning materials for Pain management following stroke.
Part 10. Answer.

Well done, the correct answer is B.

Pain Management: Module test – Part 11. Q. Is the following statement correct? ‘CPSP was previously known as Thalamic Pain Syndrome’.*
- True
- False

Part 11. Answer.

Unfortunately, you have answered part 11 incorrectly. Revise the learning materials for Pain Management following stroke.
Part 11. Answer.

Well done, this statement is true.

Pain Management: Module test – Part 12. Q. Which of the following are true? (Select all that apply)*
- Select All
- A. CPSP responds well to conventional analgesia
- B. CPSP is associated with significant impairment in quality of life
- C. CPSP may develop several months following a stroke event
- D. CPSP should be considered when a patient complains of a painful knee

Part 12. Answer.

Unfortunately, you have answered part 12 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Pain management following stroke.
Part 12. Answer.

Well done, B and C are correct.

Pain Management: Module test – Part 13. Q. Which of the following are key clinical features of CPSP? (Select all that apply)*
- Select All
- A. Pain caused by mild stimulation
- B. Altered perception to temperature change on skin
- C. Excessive reaction to stimuli which are usually painful
- D. Pain improves as the patient’s motor deficits improve

Part 13. Answer.

Unfortunately, you have answered part 13 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Pain management following stroke.
Part 13. Answer.

Well done, A and C are correct.

Pain Management: Module test – Part 14. Q. Which of the following exacerbate CPSP? (Select all that apply)*
- Select All
- A. Stress or emotional upset
- B. Light touch
- C. Extremes of temperature
- D. Gentle exercise

Part 14. Answer.

Unfortunately, you have answered part 14 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Pain management following stroke.
Part 14. Answer.

Well done, A, B and C are correct.

Pain Management: Module test – Part 15. Q. CPSP is curable with the right treatment.*
- True
- False

Part 15. Answer.

Unfortunately, you have answered part 15 incorrectly. Revise the learning materials for Pain Management following stroke.
Part 15. Answer.

Well done, there is no cure for CPSP but there are treatments which can help. These treatments may partly reduce the pain but it will not completely disappear.

Pain Management: Module test – Part 16. Q. Which of the following are usually effective analgesics in CPSP? (Select all that apply)*
- Select All
- A. Paracetamol
- B. Amitriptyline
- C. Lamotrigine
- D. Ibuprofen

Part 16. Answer.

Unfortunately, you have answered part 16 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Pain management following stroke.
Part 16. Answer.

Well done, B and C are correct.

Pain Management: Module test – Part 17. Q. Amitriptyline belongs to which group of drugs?*
- A. Simple analgesics
- B. Non-Steroidal Anti–inflammatory
- C. Anticonvulsants
- D. Tricyclic Antidepressants

Part 17. Answer.

Unfortunately, you have answered part 17 incorrectly. Revise the learning materials for Pain management following stroke.
Part 17. Answer.

Well done, the correct answer is D.

Pain Management: Module test – Part 18. Q. The pain relieving effects of Amitriptyline may not be apparent for the first 2 weeks of therapy. On starting Amitriptyline which of the following side effects may a patient experience? (Select all that apply)*
- Select All
- A. Dry mouth
- B. Tiredness/fatigue
- C. Increased appetite
- D. Urinary frequency or retention

Part 18. Answer.

Unfortunately, you have answered part 18 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Pain management following stroke.
Part 18. Answer.

Well done, all of the above are correct.

Pain Management: Module test – Part 19. Q. Before starting Lamotrigine which of the following should be checked? (Select all that apply)*
- Select All
- Weight
- Renal function
- Liver function
- Full blood count

Part 19. Answer.

Unfortunately, you have answered part 19 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Pain management following stroke.
Part 19. Answer.

Well done, B and C are correct.

Pain Management: Module test – Part 20. Q. Which of the following self-management strategies can help CPSP? (Select all that apply)*
- Select All
- A. Acceptance and positive thinking exercises
- B. Relaxation exercises
- C. Engaging in enjoyable activities
- D. Reducing movement and staying indoors

Part 20. Answer.

Unfortunately, you have answered part 20 incorrectly, or you may not have selected all the correct answers. Revise the learning materials for Pain management following stroke.
Part 20. Answer.

Well done, A, B and C are correct.

Stroke Training and Awareness Resources (STARs)

Part 1. Answer.

Part 1. Answer.

Part 2. Answer.

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Part 3. Answer.

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Part 4. Answer.

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Part 5. Answer.

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Part 6. Answer.

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Part 7. Answer.

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Part 8. Answer.

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Part 9. Answer.

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Part 10. Answer.

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Part 11. Answer.

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Part 12. Answer.

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Part 13. Answer.

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Part 14. Answer.

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Part 15. Answer.

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Part 16. Answer.

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Part 17. Answer.

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Part 18. Answer.

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Part 19. Answer.

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Part 20. Answer.

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