NCS Pain Management Flashcards
true or false: cutaneous receptors respond to many various times of stimulation ie mechanical, chemical, thermal
false - only one
mechanical, hot or cold
true or false: persistent pain is a result of peripheral sensitization
false - central sensitization
persistent pain is a result of
a. local tissue damage
b. peripheral sensitization
c. central sensitization
c. central sensitization
which of the following changes is not seen in central sensitization
a. change in brain areas stimulated
b. increased stimulation of wide dynamic rage neurons in dorsal horn
c. decreased threshold for stimulation
d. symptoms at area of injury only
d. symptoms at area of injury only
which of the following changes is not seen in central sensitization
a. change in brain areas stimulated
b. stimulation of wide dynamic rage neurons with high threshold pain neurons in dorsal horn
c. decreased threshold for stimulation
d. symptoms at area of injury only
e. all of the above occur with central sensitization
e. all of the above occur with central sensitization
true or false: there are no anatomical changes seen on brain imaging in persons with persistent pain
false - there is cortical reorganization in the homunculus and increased firing of more brain areas
true or false: there are no functional changes seen on brain imaging in persons with persistent pain
false - there is cortical reorganization in the homunculus and increased firing of more brain areas
what is the term for cortical reorganization as a result of persistent pain
a. hyperalgesia
b. allodynia
c. centralization
d. smudging
d. smudging
true or false: persons with persistent pain will have a heightened 2 point discrimination sense
false - they will have a deficit in tactile acuity
what would be an appropriate thing to say to a patient who has persistent pain and has had stimulation to the amygdala
a. its all in your head
b. try to be mindful about your pain
c. think to yourself “those are just my sensitive nerves and I do not need to give that sensation attention”
d. this pain is not in my control
c. think to yourself “those are just my sensitive nerves and I do not need to give that sensation attention”
what would be an appropriate thing to say to a patient who has persistent pain and has had stimulation to the amygdala
a. its all in your head
b. try to be mindful about your pain
c. no pain no gain
d. I am in control. movement and pain does not mean harm
d. I am in control. movement and pain does not mean harm
your patient presents with chronic neck pain and is hyperaware of their pain. every conversation you have is about their neck pain and they cannot deter their attention away from it. this is an example of
a. hyperalgesia
b. allodynia
c. kinesiophobia
d. pain catastrophizing
d. pain catastrophizing
true or false: having pain is a true reflection of health
false
which of the following is not a component of the biopsychosocial model
a. nociception
b. pain recognition at cortical level
c. suffering
d. pain behaviors
e. disability
e. disability
you are working with a patient with persistent low back pain. they are starting to make good gains and have a day where they feel great and do a lot of activity they have been putting off. the next session they come to you with an exacerbation of their pain. what is the most appropriate thing to say to them
a. you did too much. you shouldn’t have done that
b. Notice when you do not pace yourself correctly and go too hard but that is okay and not creating damage
c. this is a set back and it will take some time to get back to where we were
b. Notice when you do not pace yourself correctly and go too hard but that is okay and not creating damage
you are working with a patient who had a bad ankle sprain 3 months ago. they present unable to bear weight on the foot, with allodynia, cool dry skin compared to the unaffected foot, with decreased ROM, and nail changes. what is a likely DDx
a. ankle fracture
b. high ankle sprain
c. CRPS
d. malingering
c. CRPS
CRPS is a dysfunction of which lobe of the brain
a. frontal
b. parietal
c. temporal
d. insular
b. parietal
what is the order of interventions in graded motor imagery
a. imagery, mirror therapy, laterality
b. mirror therapy, laterality, imagery
c. imagery, laterality, mirror therapy
d. laterality, imagery, mirror therapy
d. laterality, imagery, mirror therapy
true or false: graded motor imagery only reduces pain in the short term
false - maintains pain reduction at 6 month follow up
true or false: there is not enough evidence to make parameters for mirror therapy
false - 6-10x/d no more than 10min for 2 weeks
that is the proper parameters for mirror therapy
a. 6 hours a day 90% waking hours for 2 weeks
b. 6-10x a day, no more than 10-15min, for at least 2 weeks
c. 3x10 reps for 6-8 weeks
d. 30-60min, 3-5x/wk, for 12 weeks
b. 6-10x a day, no more than 10-15min, for at least 2 weeks
how long is it appropriate to work on laterality for
a. 2 weeks
b. 2 months
c. 2 hours
d. there is no specified time
a. 2 weeks
