CH 3: systemic v musculoskeletal pain

Question 1

Which type of onset pain?

• Recent, sudden
• Does not manifest as observed for years without progression of symptoms

Answer 1

Systemic

Question 2

Which type of onset pain?

-May be sudden or gradual depending on history

Answer 2

Musculoskeletal

Question 3

What type of musculoskeletal onset pain is usually associated with acute overload stress, traumatic event, repetitive motion; can occur as a side effect of some medications?

Answer 3

Sudden

Question 4

What type of musculoskeletal onset pain is secondary to chronic overload of affected part; may be present off and on for years?

Answer 4

Gradual

Question 5

Which type of pain based on description?

• Knifelike quality of stabbing from inside out, boring, deep aching
• Cutting, gnawing
• Throbbing
• Bone pain
• Unilateral or bilateral

Answer 5

System

Question 6

Which type of pain based on description?

• Usually unilateral
• May be stiff after prolonged rest, but pain
• Achy, cramping pain level decreases
• Local tenderness to pressure is present

Answer 6

Musculoskeletal

Question 7

Which type of pain based on intensity?

• Related to degree of noxious stimuli; usually unrelated to presence of anxiety
• Mild to severe
• Dull to severe

Answer 7

Systemic

Question 8

Which type of pain based on intensity?

• Mild to severe
• May depend on person’s anxiety level- level of pain may increase in a client fearful of a serious condition

Answer 8

Musculoskeletal

Question 9

Which type of pain based on duration?

-Constant, no change, awakens person at night

Answer 9

Systemic

Question 10

Which type of pain based on duration?

• Duration can be modified by rest or change in position
• May be constant but is more likely to be intermittent, depending on activity or position

Answer 10

Musculoskeletal

Question 11

Which type of pain based on pattern?

• Restriction of active, passive, accessory movements observed
• One or more particular movements “catch” client and aggravate pain

Answer 11

Musculoskeletal

Question 12

Which type of pain based on pattern?

• Although constant, may comes in waves
• Gradually progressive, cyclic
• Night pain
• Location: chest/shoulder
• Accompanied by shortness of breath, wheezing
• Eating alters symptoms
• Sitting up relieves symptoms
• Symptoms unrelieved by rest or change in position
• Migratory arthralgias (pain last for 1 week in one joint, resolve, and appear in another joint)

Answer 12

Systemic

Question 13

Which type of pain based on aggravating factors?

• Altered by movement
• Pain may become worse with movement
• Some myalgia decreases with movement

Answer 13

Musculoskeletal

Question 14

Which type of pain based on aggravating factors?

• Cannot alter, provoke, alleviate, eliminated, or aggravate symptoms
• Organ dependent

Answer 14

Systemic

Question 15

What is the aggravating systemic pain for esophagus?

Answer 15

Eating or swallowing affects symptoms

Question 16

What is the aggravating systemic pain for heart?

Answer 16

Cold, exertion, stress, and heavy meal, especially when combined, bring on symptoms

Question 17

What is the aggravating systemic pain for GI?

Answer 17

Peristalsis (eating) affects symptoms

Question 18

Which type of pain based on the relieving factors?

-Organ dependent

Answer 18

Systemic

Question 19

What is the relieving factors for systemic pain of the gallbladder?

Answer 19

Leaning forward may reduce symptoms

Question 20

What is the relieving factors for systemic pain of the kidney?

Answer 20

Leaning forward to affected side to reduce symptoms

Question 21

What is the relieving factors for systemic pain of pancreas?

Answer 21

Sitting uptight or leaning forward

Question 22

Which type of pain based on relieving factors?

• Symptoms reduced or relieved by rest or change in position
• Muscles pain relieved by short periods of rest without resulting stiffness except in the case of fibromyalgia
• Stretching
• Heat, cold

Answer 22

Musculoskeletal