Pain Management

Question 1

Pain management encounters are individual

patient interactions for the express purpose of

Answer 1

Intervening in an acute pain episode or a

chronic pain condition

Question 2

Pain management: They must include a

Answer 2

patient assessment

before initiating a therapeutic action.

Question 3

does not constitute a pain management

encounter

Answer 3

The administration of IV analgesics as an

adjunct to a regional or general anesthetic

Question 4

Definition – Chronic pain is a

Answer 4

physical and emotional response to tissue damage that

lasts longer than the expected duration of pain.

Question 5

Neuralgia –

Answer 5

pain following a distribution of a nerve or group of nerves

Question 6

• Anesthesia dolorosa –

Answer 6

perception of pain in an area that lacks sensation

Question 7

• Allodynia –

Answer 7

perception of a non‐painful stimulus as painful

Question 8

• Anesthesia –

Answer 8

Lack of all sensation, painful or otherwise

Question 9

Dysesthesia –

Answer 9

The presence of an unpleasant sensation whether or not a causitive stimulus is present

Question 10

• Hypoalgesia –

Answer 10

Diminished response to painful stimuli

Question 11

• Hyperalgesia –

Answer 11

Increased or aggravated response to painful stimuli

Question 12

• Hyperesthesia –

Answer 12

Exaggerated response to a mild stimlus.

Question 13

Hypoesthesia –

Answer 13

Reduced ability to sense cutaneous

stimuli such as light touch, pressure, or temperature

Question 14

• Paresthesia –

Answer 14

Abnormal sensation that occurs without

stimuli (numbness, tingling, pins &needles)

Question 15

• Radiculopathy –

Answer 15

Functional abnormality associated with at least one nerve root

Question 16

• Neuropathic pain – Complex interaction between

Answer 16

peripheral and central pain mechanisms associated
with lesions of peripheral nerves, nerve roots,
ganglions, or spinal structures

Question 17

Phantom pain –•

Answer 17

Sensation of pain in a limb that has

been amputated

Question 18

Analgesia –

Answer 18

Lack of pain perception

Question 19

• CRPS –

Answer 19

Complex regional pain syndrome.

Question 20

CRPS there are two types.

Answer 20

Type I and Type II.

Question 21

CRPS Characterized by

Answer 21

spontaneous pain, allodynia, hyperalgesia, sudomotor

and vasomotor dysfunction

Question 22

What former name for CRPS Type I?

Answer 22

Reflex sympathetic dystrophy

Question 23

• What former name for CRPS Type II?

Answer 23

Causalgia

Question 24

What former name for CRPS Type II?

Answer 24

Causalgia

Question 25

Rexed laminae is in the

Answer 25

DorsAL HORN

Question 26

Dorsal Horn – Rexed Laminae

– Lamina I –

Answer 26

Marginal layer – Small afferent termination

Question 27

– Lamina II –

Answer 27

Substancia gelatinosa – Small afferent termination

Question 28

– Lamina II‐VI –

Answer 28

deeper nucleus propius‐ Large afferent termination

Question 29

• Lumbar radiculopathy
– Physical exam signs
– Caused by

Answer 29

impingement of nerve

Question 30

NSAIDS ACT ON

Answer 30

COX-1 AND COX-2

Question 31

COX 1

Answer 31

Platelet aggregation and production of prostacyclin

Question 32

COX2

Answer 32

Activation causes fever, inflammation, pain

Question 33

Celecoxib

Answer 33

Blocks COX-2

Question 34

Etoricoxib

Answer 34

Blocks COX-2

Question 35

Salicylates

Answer 35

‐ Aspirin

Question 36

– Weak anti‐inflammatory
and poor inhibition of COX.. No adverse effect on
gastric mucosa.

Answer 36

Acetaminophen

Question 37

No adverse effect on platelet function

Answer 37

Acetaminophen