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!!