Sometimes what we need is a bit of a fun challenge – so here is yours for today…
Try and answer these questions – answers tomorrow!
1. Which type of pain process occurs when the nociceptive impulse reaches the cerebral cortex?
| Modulation. | |
| Perception. | |
| Transmission. | |
| Transduction. |
2. Chronic pain may result when the nervous system is unable to return to a state of:
| Nociception. | |
| Depolarization. | |
| Modulation. | |
| Homeostasis. |
3. Which type of pain arises from injury to the peripheral or central nervous systems?
| Somatic. | |
| Psychogenic. | |
| Neuropathic. | |
| Visceral. |
4. Which of the following statements is true?
| Chronic malignant pain continues after a pathological process has resolved. | |
| Chronic nonmalignant pain is typically associated with hyperactivity of the autonomic nervous system. | |
| A patient with multiple sources of pain can sense only two types of pain at a time. | |
| Acute pain is associated with chronic diseases that are not life-threatening. |
5. Pain assessment for osteoarthritis focuses primarily on:
| Behavioral observation. | |
| Curing the disease. | |
| Neurologic test results. | |
| Degree of restriction on normal activity. |
6. Prostaglandins are substances generated by:
| NSAIDs. | |
| COX-3 enzymes. | |
| Peripheral nociceptors. | |
| Tissue trauma. |
7. For patients with chronic disease, what is the preferred route of administration for opioid agents?
| Transdermal. | |
| Oral. | |
| Intravenous. | |
| Epidural. |
8. Which of the following are useful in counteracting the sedation that accompanies opioid analgesia?
| Anticonvulsants. | |
| SSRIs. | |
| Corticosteroids. | |
| Psychostimulants. |
9. Which type of nerve block is most commonly used for somatic pain occurring in the chest?
| Local. | |
| Peripheral. | |
| Autonomic. | |
| Intrathecal. |
10. Cognitive-behavioral interventions include all of the following except:
| Cognitive distraction. | |
| Hypnosis. | |
| Nerve block. | |
| Biofeedback. |
11. What is the psychiatrist’s role as a member of a pain management team?
| Helping patients optimize their physical functioning. | |
| Administration of analgesia directly into the central nervous system. | |
| Use of behavior modification. | |
| Conducting a comprehensive psychosocial history. |
12. Which of the following members of the pain management team evaluates patients’ home and work sites and recommends adaptations?
| Occupational therapists. | |
| Home health assistants. | |
| Physical therapists. | |
| Social workers. |
13. Which form of care refers to active total care of patients whose disease is not responsive to curative treatment?
| Analgesic. | |
| Spiritual. | |
| Collaborative. | |
| Palliative. |
14. Which of the following statements is true?
| Biofeedback and acupuncture clinics are examples of a multidisciplinary approach. | |
| A modality-oriented clinic typically offers multiple modes of therapy. | |
| Treatment goals at multidisciplinary pain centers are primarily directed toward vocational counseling. | |
| Interdisciplinary implies multidisciplinary care that is integrated and coordinated. |
15. Managed care organization officials may be reluctant to adopt integrated pain management
programs because they believe:
| The programs are too simplistic. | |
| The nature of the pain experience is objective. | |
| There is clear physical evidence for the causes of chronic pain. | |
| The programs are thought to be too expensive. |
Now for something sillier – take this test and see how you go!!
