questions Flashcards

(57 cards)

0
Q

what is the leading cause of musculoskeletal pain?

A

osteoarthritis

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1
Q

define: cephalgia

A

Head pain

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2
Q

which antiseizure drug commonly used to treat neuropathic pain should be avoided during pregnancy?

A

phenytoin

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3
Q

define: acute pain

A

sudden pain that results from injury or inflammation and is usually self-limiting

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4
Q

what are adverse reactions of all NSAIDs and aspirins?(3)

A

nausea
G.I. bleeding
ulceration

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5
Q

what is crepitus?

A

creaking joints

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6
Q

define: plasticity

A

ability of the brain to restructure itself and adapt to injury

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6
Q

which drug has the following side effects: ataxia, bruising, jaundice, and visual disturbances

A

carbamazepine

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8
Q

define: cluster headache

A

intensely painful vascular headache that occurs in groups and produces pain on one side of the head

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8
Q

where the branches of the trigeminal nerve?

A

lips, eyes, nose, scalp, forehead, upper jaw, and lower jaw

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9
Q

what are the three classifications of opioids ?

A
  1. agonists
  2. antagonists
  3. mixed agonist/antagonist
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11
Q

define: diabetic neuropathy

A

peripheral nerve disorder caused by diabetes and causing numbness, pain, or tingling in the feet or legs

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12
Q

define: euphoria

A

State of intense happiness or well-being; the opposite of dysphoria

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12
Q

_______ can cause hepatotoxicity.

A

acetaminophen

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13
Q

define: breakthrough pain

A

pain that occurs between scheduled doses of analgesics

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13
Q

histamine and bradykinin produce______, _______, and ______.

A
  1. inflammation
  2. vasodilation
  3. pain
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16
Q

define: analgesic

A

drug that reduces pain

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17
Q

how is shingles caused?

A

The herpes zoster virus, which causes chickenpox, lays dormant in nerve endings until activated. shingles cannot be cured

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18
Q

define: hyperalgesia

A

heightened sensitivity to pain that can result from treatment of chronic pain with high-dose opioids.

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18
Q

Burning and stinging are side effects to what commonly used drug to treat neuropathic pain?

A

capsaicin

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19
Q

opiates are _______ substances, and have been used for more than 2000 years to induce sleep and euphoria and to relieve diarrhea.

A

naturally occurring substances that are derived from opium poppy

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20
Q

define: endorphins, enkephalins, and dynorphin

A

substances released by the body in response to painful stimuli that act as natural painkillers

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22
Q

______ and _______ are released in response to tissue injury and are part of the immune system response.

A
  1. histamine

2. bradykinin

23
Q

define: inflammation

A

A response to tissue irritation or injury that is marked by signs of redness, swelling, heat, and pain.

23
what is the average onset of action of orally administered opioids?
30 minutes
24
define: migraine
vascular headache that is often accompanied by nausea and visual disturbances
25
define: neuropathic pain
type of pain associated with nerve injury caused by trauma, infection, or chronic diseases such as diabetes
27
on which commonly used non-opioid analgesic would you find the warning label "swallow whole; do not crush or chew"?
oxicams: | meloxicam and piroxicam
28
process of pain signal transmission(4 steps)
1. transduction 2. transmission 3. modulation 4. perception
29
it is the most common type of pain?
back pain | -only 20% of people experiencing lower back pain seek medical attention
30
define: NSAID
Non-steroidal anti-inflammatory drug
31
define: acupuncture
Nonpharmacological treatment for pain that involves the application of needles to precise points on the body
31
what are adverse reactions caused by morphine, codeine, and fentanyl?(5)
``` euphoria respiratory depression pupillary constriction constipation physical dependence ```
33
define: arthritis
condition that is associated with joint pain
34
what are some adverse reaction of Pentazocine?(3)
sedation constipation G.I. upset -chronic use me additionally produce hyperalgesia, sexual dysfunction, and decrease immune response
35
define: opioid
naturally occurring or synthetically derived analgesic with properties similar to those of morphine
36
define: nociceptors
The nerve fibers in skin, muscle, and other body tissues to carry pain signals
37
T/F: osteoarthritis pain occurs after activity
false | May occur after activity or at rest
38
T/F: opioids decrease painful sensations and rise the threshold for pain
true .
39
define: PCA
patient controlled analgesia
40
define: substance P
peptide that is involved in the production of pain sensations and controls pain perception
40
what warning labels can be found on opioid antagonists?(3)
1. May cause drowsiness 2. May impair ability to drive 3. avoid alcohol
41
define: chronic pain
pain that persists for a long period of time that is worsened by psychological factors and is resistant to many medical treatments
41
define: trigeminal neuralgia
painful condition that produces intense, stabbing pain in areas of the face innervated by branches of the trigeminal nerve
42
what type of burns are the most severe?
third-degree burns are the most severe because the skin has been destroyed
42
______ can cause fluid retention, leading to increased blood pressure
NSAIDs
43
define: dysphoria
feeling of emotional or mental discomfort, restlessness, and depression; the opposite of euphoria
45
what are some symptoms of osteoarthritis?(4)
joint pain stiffness swelling crepitus
46
define: shingles
reoccurring and painful rash caused by the herpes zoster virus
48
what is the onset of action of parenterally administered opioids?
10-15 minutes , a few begin working in less than five minutes.
50
define: biofeedback
Nonpharmacological treatment of pain that involves relaxation techniques and gaining self-control over muscle tension, heart rate, and skin temperature
51
T/F: aspirin is eliminated in the urine
true
52
what are some risk factors for osteoarthritis?(5)
1. previous joint injury/surgery 2. obesity 3. increasing age 4. muscle weakness 5. occupations that involve excessive joint use
53
what are some warning labels found on diclofenac?(3)
1. take with food 2. May cause dizziness or drowsiness 3. avoid aspirin and related drugs
54
define: opiate naïve
no current exposure to opioids
56
_______ enhances the response to painful stimuli.
Glutamate
66
_______is the most common of all arthritic conditions.
osteoarthritis