Deck 6: Pain

Question 1

Some forms of complex regional pain syndrome have no causes,and in some cases there are precipitating factors.What is the precipitating factor of complex regional pain syndrome?
1)Injury and surgery
2)Viral infection
3)Brain tumor
4)Radiculitis

Answer 1

1

Question 2

A client presents with symptoms of fibromyalgia.Which treatment option can be offered to the client?
1)Curative prescription drugs
2)Relieving and coping therapies
3)Preventive vaccines
4)Surgery

Answer 2

2

Question 3

Which statement is related to a simplex reflex arc?
1)Interpretation of the brain is necessary when it occurs in the body.
2)An efferent neuron connects with an interneuron in the substantia gelatinosa.
3)An interneuron connects to an afferent neuron that exits through the ventral horn.
4)An afferent neuron carries sensory impulses into the dorsal horn of the spinal cord.

Answer 3

4

Question 4

Pain is an unpleasant sensation that is associated with disease.The process by which people experience pain occurs in four phases.Choose the first phase that converts painful stimuli into neuronal impulses.
1)Perception
2)Modulation
3)Transduction
4)Transmission

Question 5

A client complains of headaches during morning hours and sleep,and also rhinorrhea and tearing of the eye.Which type of headache is likely to be diagnosed for the client?
1)Tension headache
2)Migraine
3)Cluster headache
4)Cephalgia

Question 6

What is the process by which the body responds to nonpharmacological treatments to relieve pain?
1)The body responds by secreting inflammatory mediators.
2)The body responds by secreting endothelin-1.
3)Nonpharmacological treatments activate the body's prostaglandins.
4)Nonpharmacological treatments activate the body's own endorphins and enkephalins.

Question 7

A client complains of pain in the neck that radiates down the right arm with numbness in the fingers.What would the client most likely be checked for?
1)Postherpetic neuralgia
2)Fibromyalgia
3)Complex regional pain syndrome
4)Cervical radiculopathy

Question 8

A client presents with symptoms of trigeminal neuralgia and wants the best pain management available.Which treatment will address the client's need?
1)Surgery
2)Acupuncture
3)Guided imagery
4)Anticonvulsants

Question 9

Which statement is related to gate control theory?
1)The first neuron is an interneuron.
2)The second neuron is an afferent neuron.
3)Sensation travels both to and from the brain.
4)The interneuron is influenced by descending nerve tracts from the spinal cord.

Question 10

Pain that is dull or aching and that occurs in certain parts of the body is referred to as deep somatic pain.Explain how somatic pain is different from other pain.
1)Pain that occurs from ligaments,tendons,and bones
2)Pain originating in an amputated part of the body
3)Pain from deep organs resulting from disease processes
4)Pain originating from the chest and left arm

Question 11

A 40-year-old client experiences problems such as sleeplessness,fear,irritability,anxiety,and stress.The client has pain that lasts longer than 6 months.Which type of pain can be diagnosed from the symptoms?
1)Acute pain
2)Chronic pain
3)Neuropathic pain
4)Phantom limb pain

Question 12

A client presents with a greater than 3-month history of widespread aches and pains.The client also points to several tender locations.On further questioning,the client mentions disturbed sleep and feeling fatigued.Which is the likely diagnosis for the client?
1)Complex regional pain syndrome
2)Fibromyalgia
3)Spinal nerve radiculopathy
4)Trigeminal neuralgia

Question 13

What are the characteristics of afferent neurons? Select all that apply.
1)They are motor nerves.
2)They extend to the muscles of the body.
3)They enter the dorsal horn.
4)They exit through the ventral horns.
5)They carry pressure sensations into the spinal cord.

Question 14

A client presents with episodic headache associated with muscular tightness in the neck and shoulders.The client is given a diagnosis of tension headaches based on which symptom?
1)Sharp,stabbing pain in the face with radiation to the jaw
2)Bandlike pain sensation in the head
3)Throbbing headache with associated symptoms of nausea
4)A perception of lights flashing in the visual field

Question 15

A client comes in with symptoms typical of a migraine attack.Which treatment option is the most apt for the client?
1)Tricyclic antidepressants
2)Beta blockers
3)Sumatriptan
4)Anticonvulsants