Which is a component of labor pain

A. Cervical dilatation

B. Myometrical ischemia

C. Vaginal distention

D. All of the above

2. Options for analgesia for the second stage of labor include all of the following EXCEPT

A. Single-dose spinal

B. Lumbar sympathetic block

C. Pudendal nerve

D. Epidural block

3. Maternal changes associated with labor include all of the following EXCEPT

A. Increased minute ventilation

B. Increased cardiac output

C. Respiratory acidosis

D. Increased endogenous epinephrine

4. Labor analgesia can be administered

A. Not before 5 cm dilatation

B. Only when Lamaze techniques fail

C. At maternal request

D. Only by an anesthesiologist


1. TheanswerisD

2. The answer is B. Lumbar sympathetic block provides analgesia for the first stage oflabor but will not provide relief for the discomfort associated with vaginal and perineal pain.

Chapter 23: Neuropathic Pain

1. The approximate incidence of neuropathic pain in the general population is closest to

2. Signs and symptoms most suggestive of neuropathic pain include which one of the following:

A. Anosmia

B. Depression

C. Hyperalgesia

D. Hypothermia

3. Which of the following medications is LEAST effective in the treatment of neuropathic pain?

A. Gabapentin

B. Duloxetine

C. Naproxen

D. Oxycodone

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