Deck 47: Pain

Question 1

Which treatment is helpful in neuropathic pain but not used for acute pain?

A) Narcotic analgesics
B) Nonsteroidal antiinflammatory drugs and aspirin
C) Anticonvulsants
D) Nonnarcotic analgesics

Answer 1

Anticonvulsants

Question 2

Most sensory afferent pain fibers enter the spinal cord by way of the ________ nerve roots.

A) anterior
B) posterior
C) C fiber
D) anterolateral

Answer 2

posterior

Question 3

A patient presenting with a severe, pounding headache accompanied by nausea and photophobia is likely experiencing a ________ headache.

A) tension
B) migraine
C) sinus
D) chronic

Answer 3

migraine

Question 4

One of the most common causes of acute pain is

A) headache.
B) fibromyalgia.
C) malignancy.
D) trigeminal neuralgia.

Question 5

The ________ is the level of painful stimulation required to be perceived.

A) perception
B) tolerance
C) expression
D) threshold

Question 6

Pain is thought of as

A) a subjective experience that is difficult to measure objectively.
B) associated with changes in vital signs reflecting its intensity.
C) experienced in the same way by all individuals.
D) always the result of tissue damage that activates nociceptors.

Question 7

Pain that waxes and wanes and is exacerbated by physical exertion is likely related to

A) neuralgia.
B) intermittent claudication.
C) fibromyalgia syndrome.
D) neuropathy.

Question 8

Referred pain may be perceived at some distance from the area of tissue injury, but generally felt

A) on the same side of the body.
B) with slightly less intensity.
C) within the same dermatome.
D) within 10 to 15 cm area.

Question 9

The physiologic mechanisms involved in the pain phenomenon are termed

A) nociception.
B) sensitization.
C) neurotransmission.
D) proprioception.

Question 10

It is useful to conceptualize pain physiology according to the four stages because each stage provides an opportunity for

A) education.
B) stimulation.
C) intervention.
D) documentation.

Question 11

Slow pain sensation is transmitted primarily by

A) group Ia afferents.
B) a motor neurons.
C) unmyelinated C fibers.
D) Ad fibers.

Question 12

The gate control theory of pain transmission predicts that activity in touch receptors will

A) enhance perception of pain.
B) decrease pain signal transmission in the spinal cord.
C) activate opioid receptors in the CNS.
D) increase secretion of substance P in the spinal cord.

Question 13

Modulation of pain signals is thought to be mediated by the release of

A) histamine.
B) endorphins.
C) cholecystokinin.
D) glutamine.