Exam 3 Week 13 ppt 5 Pain principle and definitions

Question 1

pain is

Answer 1

cognitive recognition of noxious stimuli or injury

Question 2

general conceptualization of pain

Answer 2

as one somatosensory modality

Question 3

conceptualization of pain: 2 Classifications

Answer 3

“fast” & “slow” pain

Question 4

Fast pain is

Answer 4

~sharp, stabbing, knife-like sensation

~mediate temperature, and non-discriminative touch

Question 5

Fast pain is initially felt by

Answer 5

Ad fibers of the Neospinothalamic component of the pain pathways

Question 6

Importance of fast pain

Answer 6

~gives us the quick reflexes from segmental action and the ascending Localized discriminative nature of pain sensation

Question 7

Slow pain is

Answer 7

enduring, aching, intense pain

~associated with the affective & emotional nature of pain

Question 8

slow pain- mediated

Answer 8

~C-fibers

~Paleospinothalamic component of pain pathways and is

Question 9

Pain will tell the system that

Answer 9

Alerts the nervous system to danger

Question 10

Perception of pain is not just the _____ recognition but also..

Answer 10

cognitive recognition of nociceptive 1° afferent input but it is also a complex blending of various sensory modalities and the affective understanding of the sensory input

Question 11

pain: important role in

Answer 11

~preparing the body for response to injury including both somatic & autonomic responses
~modulate the pain with descending modulation of this input

Question 12

pain: strong Relationship

Answer 12

pain to affect & motivation

Question 13

Pain: Affect

Answer 13

Emotional feeling, tone, or mood attached to a thought elicited by conditions and circumstances of internal and external environments and nociceptive sensory input has a large impact on these emotional feelings

Question 14

Pain: Motivation

Answer 14

State of need within us that arouses, maintains, and directs behavior toward a goal
~nothing more motivating than pain

Question 15

divide pain into

Answer 15

acute and chronic pain

Question 16

Acute pain

Answer 16

~occurs as a result of tissue damage
~well-defined onset and duration
~proportional to the magnitude of the injury
~protective in nature

Question 17

Chronic pain

Answer 17

~no clear point of onset
~outlasts time expected for tissue healing
~occur with or without tissue damage – so NOT proportional to extent of damage and serves
~No protective function

Question 18

Pain Can be defined as ___ or ____

Answer 18

nociceptive or neuropathic pain

Question 19

Nociceptive pain

Answer 19

~Due to activation of peripheral receptors in response to tissue injury and inflammation

Question 20

Neuropathic (neurogenic) pain

Answer 20

~signals the presence of nervous system pathology in the absence of peripheral receptor activation – most commonly damage to peripheral nerves or the central nociceptive pathways
~

Question 21

common causes of neuropathic pain

Answer 21

~peripheral nerve pathologies – metabolic polyneuropathies or infectious mononeuropathies
~Thalamic syndrome- abnormal firing of thalamic neurons producing pain as perceived by the cerebral cortex

Question 22

treatment for nociceptive pain

Answer 22

~anti-inflammatories
~counter-irritants
~narcotics

Question 23

treatment for neuropathic pain

Answer 23

~Na+ channel blocking agents such as Gabapentin (NeurontinTM) & Pregabalin (LyricaTM), Carbamazepine &
~other anti-seizure medications and Lidocaine
~other local anesthetics