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2016 summer 6903 > regional and pain > Flashcards

regional and pain Flashcards

1
Q

match the following terms: descending signals affect pain transmission

a. transdxn
b. transmission
c. perception
d. modulation

A

d

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2
Q

match the following terms: impulses transmitted to dorsal horn of spinal cord

a. transdxn
b. transmission
c. perception
d. modulation

A

b

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3
Q

match the following terms: mechanical stim converted to electrical signals

a. transdxn
b. transmission
c. perception
d. modulation

A

a

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4
Q

match the following terms: signal recognized by brain (cortex)

a. transdxn
b. transmission
c. perception
d. modulation

A

c

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5
Q

match the drug to the receptor: mu

a. precedex
b. tapentalol
c. magnesium
d. SSRI
e. morphine

A

b, e

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6
Q

match the drug to the receptor: alpha 2

a. precedex
b. tapentalol
c. magnesium
d. SSRI
e. morphine

A

a

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7
Q

match the drug to the receptor: 5-HT

a. precedex
b. tapentalol
c. magnesium
d. SSRI
e. morphine

A

d

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8
Q

match the drug to the receptor: NMDA

a. precedex
b. tapentalol
c. magnesium
d. SSRI
e. morphine

A

c

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9
Q

the neural responses to traumatic or noxious stim is known as

a. sensation
b. visceral pain
c. nocioception
d. stimulation

A

c

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10
Q

the metzak-wall theory propses a gating mechanism at the __________ level

a. dorsal horn
b. spinothalamic tract
c. thalmic
d. cortical

A

a

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11
Q

afferent pain fibers synapse with second order neurons in the ______ of the spinal cord

a. dorsal horn
b. ventral horn
c. ascending spinothalamic tract
d. lamina VIII & X

A

a

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12
Q

which types of neurons transmit NON-pain impulses from the periphery to the CNS? Select all that apply

a. A-alpha
b. A-beta
c. A-delta
d. beta fibers
e. c fibers

A

a, b

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13
Q

when stimulated, which brain area releases enkephalins?

a. PGA
b. neuclei raphe magnus
c. central gyrus
d. thalmus

A

a

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14
Q

which medication is multimodal when given alone? Select all that apply.

a. tramadol
b. oxycodone
c. tapentalol
d. clonidine

A

a, c

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15
Q

which spinal nerve root is not in the brachial plexus?

a. C6
b. C3
c. C5
d. C4

A

b

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16
Q

which block would be appropriate for a shoulder sx of 2 hrs?

a. interscalene
b. axillary
c. infraclavicular
d. supraclavicular

A

a

17
Q

which nerve lies posterior to the axillary artery?

a. median
b. ulnar
c. musculocutaneous
d. radial

A

d

18
Q

epicritic pain is transmitted by lightly myelenated A-delta fibers

a. true
b. false

A

b

19
Q

T/F patients can experience pain in the absence of noxious stimuli

A

true

20
Q

T/F somatic pain is often due to distension of organ capsules

A

False

21
Q

T/F pain is perceived in the cerebral cortex in the area of the sylvan fissure

A

true

22
Q

T/F spinal cord lamina I and II are the primary locus of the synapse of afferent pain fibers with interneurons

A

true

23
Q

T/F a paravertebral block works primarily by diffusion through the dura into the CSF

A

false

24
Q 
match the nerve block to the level at which is is done: terminal nerves
a. infraclavicular
b. axillary
c supraclavicular
d. interscalene
A

b

25
Q 
match the nerve block to the level at which is is done: trunks
a. infraclavicular
b. axillary
c supraclavicular
d. interscalene
A

c

26
Q 
match the nerve block to the level at which is is done: roots
a. infraclavicular
b. axillary
c supraclavicular
d. interscalene
A

d

27
Q 
match the nerve block to the level at which is is done: cords
a. infraclavicular
b. axillary
c supraclavicular
d. interscalene
A

a

28
Q

which nerve will NOT be anesthetized in an axillary block technique?

a. median
b. ulnar
c. radial
d. musculocutaneous

A

d

29
Q

the spinal nerves that form the brachial plexus primarily emerge from which vertebrae?

a. C3-T1
b. C4-T2
c. C5-T1
d. C6-T2

A

c

30
Q

which is the most effective place to inject for an intercostal nerve block in an adult?

a. posterior axillary line
b. anterior axillary line
c. angle of the rib
d. midaxillary line
e. paraspinous muscle

A

c

31
Q

which of the following is NOT a surface landmark for the interscalene block?

a. lateral border of sternocleidomastoid muscle
b. interscalene grove
c. medial border of inferior scalene muscle
d. cricoid cartilege

A

c

32
Q

according to the NYSORA, which of the following is NOT a safe peripheral nerve injection recommendation?

a. use short bevel needles for blocks
b. inject slowly with small volumes and aspirate frequently
c. seek paresthesia during placment of the block
d. avoid blocking the patient under GA

A

c

33
Q

the higher the frequency of the ultrasound wave, the better resolution of the u/s image but the ______ will be lower.

a. resolution
b. reflection
c. penetration
d. absorption

A

c

34
Q

in an out of plane view, the needle is _____ to the u/s probe

a. parallel
b. perpendicular
c. lateral
d. aligned

A

b

35
Q

T/F a hyperechoic structure reflects large amounts of u/s waves and will appear dark on your monitor screen

A

false

2016 summer 6903 (4 decks)

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