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7 Written questions

6 Multiple choice questions

  1. -develop at nerve stump end, and tapping induces pain (Tinel's sign); tapping test at end of nerve creates a lot of pain
  2. -post amputation, absence of sensory info causes neurons in central nociceptive pathways to become overactive; maladaptive structural reorganization is found in the SC,
    thalamus, and cerebral cortex; there is overlap of cortical reprsentation that are normally separate (loss of sensory info lighting up pain matrix)
  3. 1) Simple Descriptive Pain Scale-no pain, mild, moderate,
    severe, maximum pain
    2) Visual Analog Scale -no pain to maximal pain
    3) Pain Estimate - 0-100; 0-10
    4) Face Painm Scale - 7 faces for children
    5) McGill Pain Questionnaire-20 categories of descriptive
    words
    6) Caregiver Checklisat-slist of demostrated pain behavior
    for those who can't communicate
    7) Observe- gait, posturwe, skin, ROM, muscle strength,
    sensation
  4. -If peripheral sensory information is completely absent, CNS neurons in the nociceptive pathway become abnormally active
  5. -decrease production of neurotransmitters that transmit pain
  6. -occurs in demyelinated areas - GB Syndrome

6 True/False questions

  1. Massage-a. Injury or disease of peripheral nerve
    -b. A complete nerve section results in lack of sensation from that nerve's receptive field, and sometimes paresthesia (prikling and tingling pain).
    -c. Sensation of electrical shock and allodynia with partial damage to a nerve

          

  2. Complex Regional Pain Syndrome- top-down regulation disturbed; antinociception is decreased and pronociception is increased resulting in increased pain

          

  3. Fibromyalgia-tenderness/stiffness of muscles, aching pain, increased stress/sllep disorders, secondary hyperalsia, allodynia; abnormal activation of pain matrix with amplification of signals

          

  4. Rhizotomy-severing of the spinothalamic tract

          

  5. Polyneuropathies-involve more than one nerve, such as diabetic neuropathy and Guillian Barre

          

  6. 1) PNS-If peripheral sensory information is completely absent, CNS neurons in the nociceptive pathway become abnormally active

          

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