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!!
