EXAM 1 Flashcards
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
suffering from chronic pain
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 delta fibers
which of the following stages of the healing process is characterized by epithelialization, fibroplasia, wound contracture?
inflammation
proliferation
maturation
hypertrophic
proliferation
which of the following is NOT a cardinal sign of inflammation?
necrosis
heat
redness
pain
necrosis
which of the following is the longest phase in the healing process?
inflammatory - response
fibroblastic - repair
healing process
maturation - remodeling
maturation - remodeling
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
the endogenous opioid theory
which of the following would BEST describe a scar that extends out of its original boundaries ?
keloid
hypertrophic
tertiary intention
epithelialization
keloid
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
primary intention
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
inflammatory-response phase
what best matches the proliferative phase?
day 3-20
onset to day 9
day 9-21
day 9-2+ years
day 3-20
results of sensation testing are best recorded in which sensation of a SOAP note?
objective
subjective
assessment
plan
objective
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
large diameter, myelinated non-nociceptive fibers
which cell is “1st on scene” & noted during margination where they line the walls of the blood vessel?
neutrophils
leukocytes
basophils
monocytes
neutrophils
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
pain transmission by the c fibers
non-nociceptive fibers that are activated w touch
a beta
nociceptive fibers associated w sharp, acute pain
a delta
small, unmeyelinated fibers associated w chronic pain
c fibers
activated by chemical, thermal, or pressure painful stimuli
nociceptor receptor
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
referred pain
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
pt is experiencing hyperalgesia
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
pain gating
acute inflammation is considered?
an extreme response
a psychological reaction to pain
a normal response to injury
a persistence of the injurious agent
a normal response to injury
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
Gate control theory
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
radicular pain
