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7 Written Questions

6 Multiple Choice Questions

  1. -tenderness/stiffness of muscles, aching pain, increased stress/sllep disorders, secondary hyperalsia, allodynia; abnormal activation of pain matrix with amplification of signals
  2. - partial excision of synpathetic nerves or ganglia
  3. -change in pain etiology from tissue to physiologic impair-
    ment including muscle guarding, abnormal movement, disuse, decreased endurance of back/abdominal muscles;
    more area of pain matrix are activated and malfunctioning;
    can also see depression, sleep disturbance, preoccupat.
    with pain decreases activity, fatigue, emotional distress
  4. -involve more than one nerve, such as diabetic neuropathy and Guillian Barre
  5. -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
  6. -occurs in demyelinated areas - GB Syndrome

6 True/False Questions

  1. Peripheral-Aspirin/ibuprofin decreases synthesis of prostaglandins
    preventing prostaglandins from sensitizing nociceptors.

          

  2. Complex Regional Pain Syndrome- (Sypatheric Reflex Dystrophy) abnormal response to trauma leading to limb disuse; disuse of limb precipitates an increase in levels of neurochemicals that cause peripheral inflammation, along with a decrease in sympathetic regulation of blood flow &swating; symptoms include pain, vascula changes, atrophy affecting entire hand/foot, red/pale skin, excessive sweating, edema, late stage dry/cold skin, muscle atrophy and osteoporosis.

          

  3. 3) The Pain Matrix- top-down regulation disturbed; antinociception is decreased and pronociception is increased resulting in increased pain

          

  4. Ectopic Foci-severing of the spinothalamic tract

          

  5. Phantom Limb Pain-change in pain etiology from tissue to physiologic impair-
    ment including muscle guarding, abnormal movement, disuse, decreased endurance of back/abdominal muscles;
    more area of pain matrix are activated and malfunctioning;
    can also see depression, sleep disturbance, preoccupat.
    with pain decreases activity, fatigue, emotional distress

          

  6. Acupuncture-decrease production of neurotransmitters that transmit pain

          

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