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7 Written questions

6 Multiple choice questions

  1. - (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.
  2. -involve more than one nerve, such as diabetic neuropathy and Guillian Barre
  3. -occurs in demyelinated areas - GB Syndrome
  4. -decrease production of neurotransmitters that transmit pain
  5. 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
    6) Caregiver Checklisat-slist of demostrated pain behavior
    for those who can't communicate
    7) Observe- gait, posturwe, skin, ROM, muscle strength,
  6. -avultion of afferent roots (MVA neck flexion injury that causes avultion of brachial plexus dorsal roots); causes burning pain in the area of sensory loss

6 True/False questions

  1. Cordotomy-severing of the spinothalamic tract


  2. Massage-increases circulation th compression of tissue which decreases ischemic pain, a deficiency of blood (ischemia) results in a deficiency of 02 (hypoxia) which cause pain in tissue; pain from cramp is due to squeezing of capillaries & decreasing blood supply; when blood flow is interrupted,
    pain-stimulating chemicals accumulate; applied heat dilates blood vessels, increasing blood flow/02 and decrea
    sing the concentration of pain-stimulating substances; massage also simulates A-beta fibers thus activating the gating contrl mechanism


  3. Ectopic Foci-severing of the spinothalamic tract


  4. Sympathectamy- partial excision of synpathetic nerves or ganglia


  5. 2) CNS-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. Rhizotomy-severing of the spinothalamic tract