Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

INTERNAL MEDICINE > M1: Pain > Flashcards

M1: Pain Flashcards

0
Q

Unpleasant sensory and emotional experience associated with actual or potential tissue damage. It is both a sensation and emotion as it is accompanied by anxiety and the urge to escape or terminate the feeling.

A

Pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

The ability to experience pain is essential for

A

Protection from Injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Associated with risk of tissue damage due to undiscovered injury.

A

Insensitivity to Pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Should be recognized as a human right

A

Relief from Pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Should be considered a disease in its own right

A

Chronic Pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Should have the full status of a specialty

A

Pain medicine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Transmit pain impulses

A

A-delta & C fibers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Transmit light touch

A

A-beta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

In the presence of inflammatory mediators, primary afferents. Have lower thresholds for pain, increased frequency of firing and become sensitive to certain stimuli which usually do not cause pain.

A

Sentisization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Contribute to the process of Sensitization

A

Inflammatory mediators

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Examples of Inflammatory mediators

A

Prostaglandin, Leukotrienes, Bradykinin & Nerve GF “PaLaBaN”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Have a neuroeffector function and not just passive messengers of threats to tissues.

A

Primary Afferent Nociceptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When activated, some nociceptors may release polypeptide mediators such as Substance P causing vasodilation, degranulation of mast cells, attracts leukocytes and increases production of inflammatory mediators.

A

Nociceptor-Induced Inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Subserves the sensory aspect of pain

A

Thalamus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Subserves the emotional aspect of pain

A

Higher Cortical Levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Five categories of Pain

A

Duration & Severity, Anatomical location, Body system involved, Cause and Temporal characteristics “DAB CT”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Pain that is of recent onset and resolves quickly

A

Acute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Pain that lasts a long time. Pain that extends beyond the expected period do healing.

A

Chronic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

More than 6months

A

Chronic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Within 1-6 months

A

Subacute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Less than 6 months

A

Acute

21
Q

Diabetic neuropathy & cancer pain are examples of

A

Chronic pain

22
Q

Postherpetic Neuralgia & Osteoarthritis are examples of

A

Chronic pain

23
Q

Needle prick, Venipuncture & Dysmenorrhea

A

Acute pain

24
Q

Is different from person to person and within the same person depending on the context

A

Subjective perception of Pain

25
Q

Is the most reliable measure of pain, with health professionals tending to underestimate severity

A

A person’s self-report

26
Q

Worst headache of your life. Thunderclap headache.

A

Ruptured cerebral aneurysm leading to subarachnoid hemorrhage

27
Q

Observe for specific behaviors in nonverbal patients

A

Grimacing, Guarding & Crying “GGC”

28
Q

Type of Pain according to SYSTEM

A

Myofascial, Ischemic/Vascular, Rheumatic & Neuropathic Pain “MIRN”

29
Q

Pain arising from a perturbation of the body

A

Somatogenic

30
Q

Pain arising from a perturbation of the mind. Diagnosis usually made when all physical/organic causes have been ruled out.

A

Psychogenic

31
Q

Type of Somatogenic pain caused by damage or disease affecting the nervous system

A

Neuropathic

32
Q

Type of Somatogenic pain due to stimulation of peripheral nerve fibers that respond only to stimuli approaching or exceeding harmful intensity (thermal, mechanical, chemical or superficial somatic, deep somatic & visceral)

A

Nociceptive

33
Q

Nociceptive pain that Involves the skin

A

Superficial somatic

34
Q

Nociceptive pain that involves internal organs

A

Visceral

35
Q

Nociceptive pain that involves muscles and joints

A

Deep somatic

36
Q

Frostbite, First & Second degree burns, sipping hot coffee & holding a piece of dry ice are examples of

A

Thermal Nociceptive Pain

37
Q

Fracture, Bump on head, Liver abscess distending the Glisson’s capsule, Open wound and Dog bite are examples of

A

Mechanical Nociceptive pain

38
Q

Alcohol on an open wound, Acid thrown on the face and Muriatic acid ingestion are examples of

A

Chemical Nociceptive Pain

39
Q

Involves the skin (superficial), joints, muscles, tendons and ligaments (deep) Usually sharp, well defined and easy to localize.

A

Somatic pain

40
Q

Nociception from a visceral organ is sensed to be coming from an area distant from the site of the stimulus

A

Referred pain

41
Q

Usually dull, vague and difficult to localize. Involves the internal organs.

A

Visceral pain

42
Q

Two nerve pain fibers converge and enters on the DRG at the same time

A

Convergence Theory of Referred Pain

43
Q

Burning, Tingling, Pins and Needles pain sensation usually associated with diabetic neuropathy.

A

Neuropathic pain

44
Q

Pain perceived to be from a part of the body that has been lost or from which the brain no longer receives signals. A type of neuropathic pain which is commonly experienced by amputees.

A

Phantom pain

45
Q

In phantom pain, this may relieve pain.

A

Local anaesthetic injection into the nerves of the stump

46
Q

Pain relief in the form of excitement from sport

A

Episodic Analgesia

47
Q

Abilitiy to recognize pain may be blunted by illness or drugs in this age group. May lead to depression, decline self care and not doing ADLs. Fear of surgery, not want others to see them as weak & pain is considered as punishment fro previous transgressions.

A

Elderly

48
Q

Teach that pain should be tolerated and is a punishment for sins. They feel that pain is a signal that death is near.

A

Some Religions

49
Q

Expected to be emotional and show pain

A

Women

50
Q

Are expected to be stoic, keeping pain to themselves.

A

Women

INTERNAL MEDICINE (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions