Deck 14: A: Managing Pain

Question 1

Clinical pain is:

A) real pain.
B) subjective pain.
C) psychological pain.
D) pain that requires medical treatment.

Answer 1

pain that requires medical treatment.

Question 2

According to Ronald Melzack's system,irritation is a(n)__________ quality of pain.

A) sensory
B) affective
C) effective
D) evaluative

Answer 2

affective

Question 3

The __________ is the region of the midbrain that plays an important role in the perception of pain.

A) ventrobasal complex of the thalamus
B) somatosensory cortex
C) periacqueductal gray (PAG)
D) ventromedial nucleus

Answer 3

periacqueductal gray (PAG)

Question 4

The __________________ assesses facial grimaces,verbal complaints,and other pain responses.

A) Structured pain interview
B) McGill Pain Questionnaire
C) Pain Behavior Scale
D) Pain Symptom Scale

Question 5

__________ are relatively large myelinated neurons that conduct neural impulses at about 15 to 30 meters per second.

A) Slow nerve fibers
B) Nociceptors
C) Fast nerve fibers
D) Myelin sheaths

Question 6

Both fast and slow pain fibers funnel information from the spinal cord to the brain by creating synapses with neurons in the:

A) ventrobasal complex of the thalamus.
B) somatosensory cortex.
C) substantia nigra.
D) substantia gelatinosa.

Question 7

A condition in which a chronic pain sufferer becomes more sensitive to pain over time is known as:

A) chronic pain syndrome.
B) hyperalgesia.
C) analgesia.
D) chronic fatigue syndrome.

Question 8

The ____________ can help explain the effectiveness of counterirritation,or stimulating one area in the body to reduce pain in another.

A) gate control theory
B) placebo effect
C) doctrine of referred pain
D) phantom pain theory

Question 9

Electromyography (EMG)assesses:

A) skin conductance.
B) pain level.
C) autonomic arousal.
D) muscle tension.

Question 10

Which of the following is an example of counterirritation analgesia?

A) transcutaneous electrical nerve stimulation (TENS)
B) cognitive-behavioral therapy (CBT)
C) stress-induced analgesia (SIA)
D) palliative care

Question 11

__________ is/are neurotransmitter(s)that bind to receptors in the brain to deaden pain sensations.

A) Glutamate
B) Substance P
C) Enkephalins
D) Analgesics

Question 12

Which is the MOST accurate statement about phantom limb pain?

A) Phantom limb pain is the result of a psychosis.
B) Phantom limb pain is the result of a neurosis.
C) Phantom limb pain is the result of malingering.
D) Phantom limb pain is the result of neural processes not clearly understood.

Question 13

One research study of catastrophizing among rheumatoid arthritis patients found that ____________ was associated with elevated levels of ________________.

A) poor emotional regulation;substance P
B) helplessness;C-reactive protein
C) rumination;prostaglandin
D) cognitive distraction;inflammation

Question 14

Naloxone is a(n)____________ antagonist that blocks the effects of naturally occurring opiates and artificial painkillers.

A) depressant
B) stimulant
C) opioid
D) barbiturate

Question 15

A sharp,stinging pain localized in an injured area of the body,such as a burn or overused muscle,is known as __________ pain.

A) chronic
B) acute
C) acute recurrent
D) chronic noncancer