42. 下列有關脊髓損傷後的慢性疼痛之敘述何者錯誤?
(A) 脊髓損傷節段以下由於已無知覺,因此不會有疼痛感覺,脊髓損傷後的慢性疼痛都是 at-level neuropathic pain.
(B) 脊髓損傷後的慢性疼痛常合併有重度憂鬱等的情緒面向
(C) 脊髓損傷後的慢性疼痛依舊可以使用脊椎內嗎啡幫浦作為止痛處置,然常效果不盡理想,需要合併給予如 clonidine 等輔助性藥物
(D) 心理諮商訪談及認知行為療法是脊髓損傷後的慢性疼痛常用且效果顯著的治療
(E) 脊髓損傷後的慢性疼痛不全然是 Neuropathic,有部分是 chronic musculoskeletal pain

4. A disadvantage to using carbamazepine is: (A) High dependency potential. (B) Hematological side effects. (C) Increased pain. (D) It is not as effective as other drugs. (E) Severity of depression.

5. A 52-year-old man complains of a sudden onset of severe, stabbing pain in the left jaw and cheek that subsides in less than a minute. He is pain-free during the intervals between attacks. Activities such as combing his hair and shaving can cause the onset of this facial pain. He is otherwise healthy. The most likely diagnosis is (A) trigeminal neuralgia (B) atypical facial pain (C) postherpetic neuralgia (D) vascular facial pain

6. A patient suffered from chronic low back pain with radiating to buttock, poster lateral thigh and lateral aspect of lower leg. Muscle weakness was observed in the extensor hallucis longus and tibialis anterior. Which lumbosacral root compression is the most likely ? (A) L2 root compression (B) L3 root compression (C) L4 root compression (D) L5 root compression (E) S1 root compression

7. Which neurological signs and symptoms of complex regional pain syndrome (CRPS) among the followings is the highest ? (A) Hyperesthesia/allodynia (B) Coordination deficits (C) Tremor (D) Muscle spasm (E) Paresis

8. Pain is a frequent consequence of spinal cord injury (SCI). Which of the following statement is least likely: (A) Below-level neuropathic pain is most likely described as severe or excruciating months or years following initial injury. (B) Damage to the spinothalamic tracts is an important ingredient in the development of neuropathic pain following SCI. (C) Chronic musculoskeletal pain is common in tetraplegic patients after SCI. (D) Patients with cervical SCI are at risk of developing CRPS affecting upper limbs. (E) Below-level neuropathic pain is also referred to deafferentation pain. 2

9. Neuropathic pain: (A) Occurs only in laboratory animals. (B) Occurs under conditions of normal peripheral and central nervous system function. (C) Typically responds favorably to opioid analgesics. (D) Typically responds favorably to NSAIDs. (E) Often responds favorably to adjuvant analgesics.

10. Which of the following is the acceptable statement about neurodestructive RF lesions? (A) These temperatures are resulted from friction heat. (B) The size of RF lesion with 22 gauge RF needle is around with a radius of 5 mm (C) The heat is generated on the tip of RF needle. The RF needle then heat up the tissues. (D) The RF permanent neurodestructive lesion is formed when neural temperatures exceed 42°C (E) All of the above

11. The innervation of deep somatic tissue like muscle and joint is quite complex. Which of the following description is not appropriate? (A) The nociceptors are predominantly activated by non-physiological stimuli which may cause damage to the structures (e.g. overload, twisting, strong pressure, ischemic contraction). (B) During inflammation or after trauma, nociceptors of joint and muscle show pronounced sensitization, in particular for mechanical stimuli. (C) Descending inhibition is enhanced during chronic inflammation but seems to be normalized during acute inflammation. (D) Both primary afferent fibers as well as sympathetic reflexes may aggravate inflammatory lesions. (E) Reduced release of hormones from the hypothalamic-pituitary-adrenal (HPA) axis such as cortisol, adrenal androgens and testosterone may cause a relative loss of anti-inflammatory activity.

12. Which of the following statements concerning the difference between phenol and alcohol when used in neurolytic blocks is/are FALSE?. (A). Phenol takes 15 minutes for neurolysis whereas alcohol's neurolytic effect is immediate. (B) Phenol usually does not produce pain on injection. (C) Intrathecal alcohol is hypobaric, whereas phenol is hyperbaric. (D) Phenol is approximately twice as efficacious as alcohol.

13. When will you make a surgical suggestion as you manage a patient with neck or low back pain? (A) Intractable symptoms for one week (B) No changes in physical findings and no response to conservative management for two weeks (C) Obvious radicular sign without findings of correctable anatomical problem for more than one month (D) No improvement with progressive neurologic deficit in two weeks (E) Mild improvement for more than one month but less than three months

112年 - 112 台灣疼痛醫學會專科醫師考題#116972

111年 - 111 台灣疼痛醫學會專科醫師考題#116969

110年 - 110 台灣疼痛醫學會專科醫師考題 #120829

109年 - 109 台灣疼痛醫學會專科醫師考題#120915

108年 - 108 台灣疼痛醫學會專科醫師考題#122407

107年 - 台灣疼痛醫學會專科醫師考題#122426

106年 - 106 台灣疼痛醫學會專科醫師考題#122412

105年 - 105 台灣疼痛醫學會專科醫師考題#122415

104年 - 104 台灣疼痛醫學會專科醫師考題#122433

103年 - 103 台灣疼痛醫學會專科醫師考題#125057