EXAM 1 Flashcards

1
Q

PTA is reviewing medical records of a pt that has extensive hx of multiple surgeries & currently utilizes a variety of medication. the pt c/o continued dull, achy pain w feelings of depression & difficulty sleeping. the PTA should identify the pts is most likely:

suffering from referred pain
suffering from cancer
suffering from acute pain
suffering from chronic pain

A

suffering from chronic pain

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1
Q

A PTA drops a 2lb weight on her finger. the PTA initially experiences a sharp, stabbing pain followed by throbbing pain. the initial pain is most likely caused by stimulation of the:

complex regional pain syndrome
a beta fibers
c fibers
a delta fibers

A

a delta fibers

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2
Q

which of the following stages of the healing process is characterized by epithelialization, fibroplasia, wound contracture?

inflammation
proliferation
maturation
hypertrophic

A

proliferation

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3
Q

which of the following is NOT a cardinal sign of inflammation?

necrosis
heat
redness
pain

A

necrosis

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4
Q

which of the following is the longest phase in the healing process?

inflammatory - response
fibroblastic - repair
healing process
maturation - remodeling

A

maturation - remodeling

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5
Q

nociceptive signals are transmitted to the brain which causes a descending inhibitory effect via the body releasing oligopeptides & binds with the post-synaptic receptor to block pain

A

the endogenous opioid theory

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6
Q

which of the following would BEST describe a scar that extends out of its original boundaries ?

keloid
hypertrophic
tertiary intention
epithelialization

A

keloid

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7
Q

PTA is treating a pt that received sutures to repair the tissue after an injury. the most appropriate term to describe this type of wound contraction is?

secondary intention
third intention
primary intention
fourth intention

A

primary intention

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8
Q

PTA is preparing to perform a dressing change & notes the tissue in the area of the ulcer is granulation tissue (bright red to pink color). what is the most likely phase of tissue repair?

inflammatory-response phase
healing phase
proliferation-repair phase
maturation-remodeling phase

A

inflammatory-response phase

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9
Q

what best matches the proliferative phase?

day 3-20
onset to day 9
day 9-21
day 9-2+ years

A

day 3-20

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10
Q

results of sensation testing are best recorded in which sensation of a SOAP note?

objective
subjective
assessment
plan

A

objective

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11
Q

which is true about A beta fibers?

large diameter, myelinated nociceptive fibers
large diameter, unmyelinated nociceptive fibers
large diameter, myelinated non-nociceptive fibers
small diameter, myelinated nociceptive fibers

A

large diameter, myelinated non-nociceptive fibers

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12
Q

which cell is “1st on scene” & noted during margination where they line the walls of the blood vessel?

neutrophils
leukocytes
basophils
monocytes

A

neutrophils

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13
Q

PTA is tx a pt that suffered cervical injuries sustained in a MVA 3 months ago. pts reports throbbing pain in neck that’s difficult to tolerate & described as “achy” this is most likely caused by

d fiber pain
pain transmission by the a-delta fibers
pain caused by a beta fibers
pain transmission by the c fibers

A

pain transmission by the c fibers

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14
Q

non-nociceptive fibers that are activated w touch

A

a beta

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15
Q

nociceptive fibers associated w sharp, acute pain

A

a delta

16
Q

small, unmeyelinated fibers associated w chronic pain

A

c fibers

17
Q

activated by chemical, thermal, or pressure painful stimuli

A

nociceptor receptor

18
Q

pt experiencing gall bladder pain reports pain in their shoulder. this is best described as an example of?

chronic pain
psychogenic pain
referred pain
acute pain

A

referred pain

19
Q

pta is doing sensation test w small pin & lightly touches the skin. the pt jerks her arm away & states 10/10 pain. what is true about this scenario?

pt is experiencing hyperalgesia
pt id experiencing allodynia
pts is experiencing hysteria
pt is experiencing chronic pain

A

pt is experiencing hyperalgesia

20
Q

stopping pain at the spinal cord level & interrupting the transmission of pain to the brain ?

specificity theory of pain
psychological pain
pain gating
pattern theory of pain

A

pain gating

21
Q

acute inflammation is considered?

an extreme response
a psychological reaction to pain
a normal response to injury
a persistence of the injurious agent

A

a normal response to injury

22
Q

The A-Beta fibers are stimulated to cause an increase in the inhibitory interneuron firing which dampens or gate the intensity of A delta or C fibers at the level of the spinal cord

A

Gate control theory

23
Q

A PTA is working with a patient that reports 7/10 pain in the low back (L4-5 area). An MRI reveals compression of the L4 nerve root secondary to a posterior-lateral disc protrusion. The patient also states that the pain “runs down the back of my left leg” with prolonged weight bearing. This patient is most likely experiencing

Referred pain
Chronic pain
Acute pain
Radicular pain

A

radicular pain

24
Q

which best describes the sequence of the inflammatory cycle?

Inflammation, Hemostasis, Proliferation, Maturation
Hemostasis, Inflammation, Proliferation, Maturation

A

CAN BE BOTH

WHEN IN DOUBT: hemostasis, inflammation, proliferation, maturation

25
Q

pain receptors in the body is called?

Pacinian corpuscles
Meissner’s corpuscles
s fibers
nociceptors

A

nociceptors

26
Q

the outermost skin surface forming a protective barrier over wound

A

epithelialization

27
Q

when the healing cells move through the arterial wall during the inflammatory process

A

diapedesis

28
Q

the attraction of healing agents to the injured tissue

A

chemotaxis

29
Q

typically performed by macrophages, the process of absorbing & breakdown necrotic/infectious tissue

A

phagocytosis