Deck 18: Pain Management

Question 1

Undertreated pain can affect the cardiovascular system by:

A) Decreasing the heart rate
B) Lowering blood pressure
C) Increasing the heart rate
D) Decreasing peripheral resistance

Answer 1

Increasing the heart rate

Question 2

A nociceptive pain type which happens after injury to skins and bones:

A) Somatic pain
B) Visceral pain
C) Neuropathic pain
D) All are correct

Answer 2

Somatic pain

Question 3

What do you call the increase in responsiveness to pain stimulus?

A) Anaesthesia
B) Hypalgesia
C) Hyperalgesia
D) None are correct

Answer 3

Hyperalgesia

Question 4

A type of pain that directly affects the nervous system:

A) Neuropathic pain
B) Somatic pain
C) Visceral pain
D) All are correct

Question 5

The term describing pain produced from an unusually non-pain stimulating object:

A) Allodynia
B) Anhedonia
C) Hypoalgesia
D) Hyperalgesia

Question 6

In pain management, this refers to the decreasing effect of a drug at a constant dose, or an increasing need of a dose higher than previously to maintain desired effects:

A) Tolerance
B) Addiction
C) Abuse
D) Threshold

Question 7

The level of pain accepted before patients normally seek interventions:

A) Pain tolerance
B) Pain threshold
C) Half-life
D) Abuse

Question 8

Which of the following is an example of an opioid analgesic?

A) Aspirin
B) Paracetamol
C) Ibuprofen
D) Tramadol

Question 9

Which one of the follwing is not a commonly used indicator for opioid-induced respiratory depression:

A) Levels of consciousness
B) Oxygen saturation
C) Gait
D) Respiratory rate

Question 10

These are classes of medications that are used to manage acute pain and considered appropriate for severe-to-moderate pain:

A) Opioids
B) NSAIDS
C) Antidepressants
D) All are correct.

Question 11

Sensory afferent neurons that are unmyelinated contain:

A) A? fibres
B) A? fibres
C) B fibres
D) C fibres

Question 12

The nerve cell body of primary afferent nociceptors is located:

A) In the dorsal root ganglion (DRG)
B) The second lamina of the dorsal horn of the spinal cord
C) The periaqueductal grey matter
D) The spinothalamic tract

Question 13

Sensory afferent neurons with the fastest transmission speed are:

A) B2 fibres
B) B1 fibres
C) A? fibres
D) C fibres

Question 14

Visceral sensory afferent neurons innervate which of the following structures?

A) Internal organs
B) Skin
C) Muscle
D) Joints

Question 15

The throbbing, slowly increasing pain that occurs following an initial painful stimulus is transmitted along:

A) A? fibres
B) A? fibres
C) C fibres
D) B1 fibres

Question 16

Pain produced by a stimulus that would not normally cause pain is referred to as:

A) Hyperalgesia
B) Allodynia
C) Causalgia
D) Sensitisation

Question 17

All of the following processes are involved in pain perception, EXCEPT:

A) Transduction
B) Modulation
C) Perception
D) Integration

Question 18

Which of the following statements most correctly defines nociceptors?

A) Primary afferent neurons that detect changes in their local environment
B) Primary visceral or somatic afferent neurons that detect actual or potential tissue damage
C) Primary somatic afferent neurons that detect actual or potential tissue damage
D) Primary visceral or somatic efferent neurons that detect actual or potential tissue damage

Question 19

Pain caused by a lesion or disease of the central or peripheral nervous system is termed:

A) Nociceptive pain
B) Somatic pain
C) Central sensitisation
D) Neuropathic pain

Question 20

Which of the following statements regarding the characteristics of somatic pain is INCORRECT?

A) Somatic structures are predominately innervated by A and C fibres
B) Pain is well localised and often increased on palpation and movement
C) Pain is diffuse or poorly localised
D) It is triggered by mechanical, thermal and chemical stimuli