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Anaesthesia · Regional anaesthesia and pain anatomy: curriculum recognition
Sample itemAn alert adult in the recovery area after knee surgery can describe the pain. Which tool is the simplest validated way to measure its severity?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. 0 to 10 numeric rating scale
In a communicating adult, self-report is the standard, and the 0 to 10 numeric rating scale (or visual analogue scale) is quick and validated. Behavioural tools such as FLACC and the Behavioural Pain Scale are for those who cannot self-report, such as infants or ventilated patients.
Option by option
A. 0 to 10 numeric rating scale (correct)
Correct. Self-report on a 0 to 10 scale is simple and validated in alert adults.
B. Behavioural Pain Scale
The Behavioural Pain Scale is used in sedated, ventilated patients who cannot self-report.
C. Faces Pain Scale for toddlers
Toddler-oriented picture scales are designed for young children, not for adult self-reporting.
D. FLACC behavioural scale
FLACC scores face, legs, activity, cry and consolability in infants and non-verbal children.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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