Module 5 Flashcards

1
Q

Pain resulting from a profound, sudden loss of blood flow to an organ or tissues in a specific area of the body is referred to as:

a. chronic pain.
b. central pain.
c. cardiovascular pain.
d. ischemic pain.

A

d. ischemic pain.

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2
Q

What is a common analgesic administered to control a moderate level of pain?

a. Meperidine
b. Acetaminophen
c. Codeine
d. Ibuprofen

A

c. Codeine

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3
Q

What is the role of nociceptors? They are:

a. pain receptors that are stimulated by thermal, chemical, or physical means.
b. spinal nerves that conduct impulses from specific areas of the skin.
c. responsible for the state of arousal with pain.
d. useful in localizing pain to a specific area of the body.

A

a. pain receptors that are stimulated by thermal, chemical, or physical means.

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4
Q

According to the gate-control theory, passage of pain impulses may be naturally blocked:

a. at the synapse by entry of other sensory impulses.
b. by the stress response.
c. by administration of morphine directly into the spinal cord.
d. by referring the pain to other parts of the body.

A

a. at the synapse by entry of other sensory impulses.

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5
Q

Intractable pain is best defined as:

a. pain the is perceived as occurring in an amputated limb.
b. severe pain that cannot be controlled by medication.
c. pain perceived as coming from a source other than the actual source.
d. pain coming from a specific dermatome.

A

b. severe pain that cannot be controlled by medication.

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6
Q

A headache that is related to changes in cerebral blood flow is classified as a/an ________ headache.

a. tension
b. sinus
c. migraine
d. intracranial

A

c. migraine

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7
Q

Which of the following applies to spinal anesthesia?

a. It causes analgesia with loss of consciousness.
b. The drug is injected into cerebrospinal fluid (CSF) or the epidural space in the spinal cord.
c. The drug stimulates release of endorphins in the spinal cord.
d. The transmission of pain impulses is blocked in a small area of the body.

A

b. The drug is injected into cerebrospinal fluid (CSF) or the epidural space in the spinal cord.

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8
Q

Which of the following is a characteristic of chronic pain?

a. It usually initiates a physiological stress response.
b. It always involves a strong emotional response such as high anxiety.
c. It is more difficult to diagnose and treat than is acute pain.
d. It involves tissue damage to a specific organ.

A

c. It is more difficult to diagnose and treat than is acute pain.

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9
Q

Cancer-related pain has been broken down into three basic categories: pain caused by the advance of the disease and resultant damage to the body, pain that is the result of a coexisting disease unrelated to the cancer, and:

a. phantom pain as a result of amputation.
b. pain associated with the treatment of the disease.
c. pain caused by emotional stress and metabolic changes.
d. pain associated with damage to the peripheral nerves.

A

b. pain associated with the treatment of the disease.

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10
Q

Pain perceived in the left arm during the course of a heart attack is an example of:

a. referred pain.
b. phantom pain.
c. chronic pain.
d. subjective pain response.

A

a. referred pain.

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11
Q

Recommendations to reduce the risk factors and the progression of osteoporosis with aging include:

a. reducing vitamin D intake.
b. maintaining walking and weight-bearing exercise.
c. increasing bone resorption.
d. maintaining glucocorticoid therapy.

A

b. maintaining walking and weight-bearing exercise.

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12
Q

Which of the following does NOT contribute to the increasing life span of the general population?

a. Reduced cognitive and social activities
b. Improved living conditions
c. Better nutrition
d. Advancements in health care

A

a. Reduced cognitive and social activities

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13
Q

All are physiological changes that occur with aging EXCEPT:

a. reduced skeletal muscle mass.
b. degeneration of fibrocartilage in intervertebral discs in the spine.
c. increased basal metabolic rate (BMR).
d. reduced bladder capacity and incomplete bladder emptying.

A

c. increased basal metabolic rate (BMR).

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14
Q

Lung expansion in the elderly may be reduced because of decreased:

  1. tissue elasticity.
  2. rib mobility.
  3. control by the respiratory center.
  4. skeletal muscle strength.

a. 1, 3
b. 1, 4
c. 2, 3, 4
d. 1, 2, 4

A

d. 1, 2, 4

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15
Q

Which of the following factors lead to delayed wound healing in the elderly?

  1. Reduced rate of mitosis
  2. Inadequate circulation
  3. High risk of infection
  4. More effective immune system

a. 1, 2
b. 1, 3
c. 2, 4
d. 1, 2, 3

A

d. 1, 2, 3

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16
Q

What is a major factor leading to increased occurrence of cancer in the elderly?

a. Widespread vascular degeneration
b. Cumulative exposure to carcinogens
c. Hereditary factors
d. Increased immune surveillance

A

b. Cumulative exposure to carcinogens

17
Q

Senescence refers to the period of time when:

a. mitosis is accelerated.
b. apoptosis is reduced.
c. aging changes become apparent.
d. cell death exceeds cell development.

A

d. cell death exceeds cell development.

18
Q

Vision in the elderly may be impaired when the eyeball becomes less elastic, thus preventing accommodation and resulting in:

a. presbyopia.
b. cataracts.
c. glaucoma.
d. damage to the retina.

A

a. presbyopia.

19
Q

All of the following changes are associated with aging EXCEPT:

a. loss of elastic fibers.
b. decreased metabolic rate.
c. decreased secretion of all hormones.
d. degenerative vascular changes.

A

c. decreased secretion of all hormones.

20
Q

The term given to the change that occurs in women at around age 50 with the cessation of the menstrual cycle is:

a. menopause.
b. dysmenorrhea.
c. amenorrhea.
d. menarche.

A

a. menopause.

21
Q

What is the term used to describe the degree of pain that is endured before an individual takes action?

a. Pain threshold
b. Referred pain
c. Phantom pain
d. Pain tolerance

A

d. Pain tolerance

22
Q

Pain that is caused by trauma or disease involving the peripheral nerves is referred to as:

a. neuropathic pain.
b. central pain.
c. neurogenic pain.
d. referred pain.

A

a. neuropathic pain.

23
Q

Pain perceived in the left arm during the course of a heart attack is an example of:

a. referred pain.
b. phantom pain.
c. chronic pain.
d. subjective pain response.

A

a. referred pain.

24
Q

In which structure do pain impulses ascend the spinal cord?

a. Reticular formation
b. Corticospinal tract
c. Spinothalamic tract
d. Relevant dermatome

A

c. Spinothalamic tract

25
Q

Which of the following is a characteristic of acute pain but not of chronic pain?

a. Depression and debilitation
b. A perception of increased generalized pain and discomfort
c. Fatigue and lower pain tolerance
d. Severe but short term

A

d. Severe but short term

26
Q

Which of the following statements is TRUE?

a. The brain is more aware of pain impulses when the reticular activating system is depressed.
b. Acute pain does not cause a reflex response at the spinal cord synapses.
c. Young infants typically response to pain with tachycardia and increased blood pressure.
d. Chronic pain is easier to tolerate without negative effects.

A

c. Young infants typically response to pain with tachycardia and increased blood pressure.

27
Q

What is the definition of endorphins?

a. Neurotransmitters at the nociceptors
b. Transmitters for sensory impulses
c. Opiate-like blocking agents in the central nervous system
d. Pain-causing chemical mediators

A

c. Opiate-like blocking agents in the central nervous system

28
Q

The impulses related to acute pain are usually transmitted by:

a. nociceptors.
b. myelinated A delta fibers.
c. unmyelinated C fibers.
d. any sensory fiber with a low pain threshold.

A

b. myelinated A delta fibers.

29
Q

With advancing age, the major change in the cardiovascular system involves:

a. irregular impulse conduction in the heart.
b. a reduced number of collagen fibers to support cardiac muscle.
c. vascular degeneration, leading to arteriosclerosis and atherosclerosis.
d. the heart valves becoming thin and weak.

A

c. vascular degeneration, leading to arteriosclerosis and atherosclerosis.

30
Q

Which of the following may develop in an elderly patient who has several medical problems and is markedly obese?

a. Osteoarthritis and cardiovascular complications
b. Decreased activity and diabetes mellitus
c. Undesirable interactions with multiple prescription drugs and over-the-counter (OTC) medications
d. A, B, and C

A

d. A, B, and C

31
Q

Ibuprofen is classified as an NSAID and is particularly useful in treating:

a. severe pain.
b. pain caused by inflammation.
c. intracranial pain.
d. pain in young infants.

A

b. pain caused by inflammation.

32
Q

A headache that results from pressure on the meninges surrounding the brain is referred to as a/an:

a. intracranial headache.
b. intrameningeal headache.
c. migraine headache.
d. cerebral headache.

A

a. intracranial headache.

33
Q

Predisposing factors to osteoporosis in older women include all of the following EXCEPT:

a. decreased estrogen secretion.
b. genetic factors.
c. sedentary lifestyle.
d. decreased parathyroid hormone.

A

d. decreased parathyroid hormone.

34
Q

Theories about the causes of aging include:

a. apoptosis.
b. wear and tear.
c. altered protein (amyloid) accumulation.
d. All the above

A

d. All the above

35
Q

Which of the following analgesics acts to reduce pain at the peripheral site?

a. Acetaminophen
b. Morphine
c. Codeine
d. Intravenous general anesthesia

A

a. Acetaminophen

36
Q

Pain resulting from a profound, sudden loss of blood flow to an organ or tissues in a specific area of the body is referred to as:

a. chronic pain.
b. central pain.
c. cardiovascular pain.
d. ischemic pain.

A

d. ischemic pain.