6/28 REVIEW

Question 1

pain from a visceral organ that presents elsewhere?

Answer 1

referred pain

ex: heart attack - pt can feel on opposite side of arm

Question 2

acute sharp pain is what type of fiber?

Answer 2

A-Delta fibers

Question 3

which cells are primarily responsible for phagocytosis?

Answer 3

macrophages

• monocytes make the macrophages

Question 4

time frame for the inflammatory phase?

Answer 4

onset - day 6

Question 5

putting hand on a hot stove would stimulate what tissue receptor?

Answer 5

thermal

Question 6

interpreting a non-nociceptive stimulus as painful would be best called?

Answer 6

allodynia

• hyperalgesia = pain thats exaggerated

Question 7

blocking on pain by A beta stimulation of T cell neurons is best called

Answer 7

Gate Theory of pain

• happens at the level of the spinal cord

Question 8

sciatica is considered what type of pain?

Answer 8

radicular

Question 9

acute inflammation is normal

Answer 9

TRUE

• important for natural healing process

Question 10

light touch & thermal sensation intact = what section of SOAP Notes?

Answer 10

objective

• a fact!

Question 11

what has ani-inflammatory capabilities ?

Answer 11

ibuprofen

• also ; aspirin, naproxen, aleve
• tylenol = only for pain, does not have anti-inflammatory

Question 12

scar that exceeds the normal border?

Answer 12

keloid scar

• hypertrophic = angry red, raised, but within its border

Question 13

what is described as the blocking of substance P at the synaptic cleft w/o oligopeptides?

Answer 13

Endogenous Opioid Theory

• delays pain but wears out & original pain is felt

Question 14

best discription of C-fibers?

Answer 14

slow, unmyelinated

Question 15

what is it called when neutrophils stack in a line of the arterial walls/blood vessels ?

Answer 15

pavementing

Question 16

the break down of damaged tissue?

Answer 16

phagocytosis

Question 17

attraction of other cells?

Answer 17

chemotaxis

Question 18

the movement of cells from the arterial wall into the tissues

Answer 18

emigration

Question 19

process of going through a wall

Answer 19

diapedesis

Question 20

the process of myofibroblasts closing a wound w/o assistance is?

Answer 20

secondary intention

• @ the skin level wound as a = epithelialization
• primary = stitches
• tertiary = use of graphs

Question 21

the longest healing phase ?

Answer 21

maturation phase day 9 - 2+ years

Question 22

dx including pain disproportional to the injury?

Answer 22

complex regional pain syndrome

Question 23

nociceptors do what?

Answer 23

respond to pain = a delta & c fibers

• a beta responds to vibration, tension, & pressure

Question 24

what strategy would be best for chronic LBP

Answer 24

TA/multifidus activation

ex; bird dogs

Question 26

modalities are used during the inflammatory response phase of the healing process to?

reduce swelling
control pain

Answer 26

BOTH

Question 27

stages of inflammation - acute, subacute, chronic

Answer 27

acute - 2 weeks
subacute - more than 4 weeks
chronic - months/years

Question 28

modalities that can be used as an electromagnetic agent for treating pts

Answer 28

sensory level electric stimulation
motor level electric stimulation
laser
UV radiation

Question 29

bone repair list

Answer 29

inflammation
soft callus
hard callus
bone-remodeling

Question 30

modalities for thermal agents

Answer 30

hot packs
ice packs
whirlpool
diathermy

Question 31

Which of the following is reflective of the predominate type of collagen synthesized in the maturation phase of healing?

type 1
type 2
type 3
type 4

Answer 31

type 1 collagen

Question 32

From highest to lowest level of evidence, please rate the following types of studies. (1= highest level of evidence, 4= lowest)

Meta-analysis
Systemic reviews
Randomized controlled trials
Case-control report

Answer 32

1. Meta-analysis
2. Systemic reviews
3. Randomized controlled trials
4. Case-control report