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7 Written questions

6 Multiple choice questions

  1. -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)
  2. -If peripheral sensory information is completely absent, CNS neurons in the nociceptive pathway become abnormally active
  3. -occurs in demyelinated areas - GB Syndrome
  4. 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,
  5. -severing of the spinothalamic tract
  6. -develop at nerve stump end, and tapping induces pain (Tinel's sign); tapping test at end of nerve creates a lot of pain

6 True/False questions

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


  2. Polyneuropathies-involves one nerve (median nerve or ulna nerve compression)


  3. Rhizotomy-severing of the spinothalamic tract


  4. Chronic Low Back 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


  5. Fibromyalgia-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


  6. Acupuncture-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


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