Unit 12 - Misc. Pain Topics

Question 1

Pain d/t a stimulus that doesn’t normal produce pain

Answer 1

Allodynia

Question 2

A stimulus that is normally expected to produce pain

Answer 2

algogenic

Question 3

No pain is sensed in response to a painfull stimulus

Answer 3

Analgesia

Question 4

Abnormal/unpleasant sense of touch

Answer 4

dysesthesia

Question 5

exaggerated pain response w/ a painful stimulus

Answer 5

hyperalgesia

Question 6

pain localized to a dermatome

Answer 6

Neuralgia

Question 7

Impaired nerve function

Answer 7

Neuropathy

Question 8

Abnormal sensation described as pins and needles

Answer 8

paresthesia

Question 9

The ________ class of medications can be used to treat chronic pain

Answer 9

Antidepressants

Question 10

Name the 3 classes of antidepressants that can be used to treat chronic pain

Answer 10

TCAs
SNRIs
SSRIs

Question 11

The antidepressant class of _____ have the most significant side effects

Answer 11

TCAs

Question 12

What are the 2 major side effects of TCAs

Answer 12

QT prolongation
Orthostatic HoTN

Question 13

The combination of a SNRI & an SSRIs can precipitate _________ _________

Answer 13

serotonin syndrome

Question 14

Type 1 of complex regional pain syndrome is called:

Answer 14

reflex sympathetic distrophy

Question 15

type 2 of complex regional pain syndrome is called:

Answer 15

causalgia

Question 16

type ___ CRPS is always preceded by nerve injury and type ____ is not

Answer 16

2
1

Question 17

You can think of the ____________ block as a unilateral single shot epidural

Answer 17

Thoracic paravertebral block

Question 18

This block is useful for the management of cancer pain of the upper abdominal organs

Answer 18

celiac plexus block

Question 19

This block is useful for the management of cancer pain of the pelvic organs

Answer 19

superior hypogastric plexus block

Question 20

Which block can be used to alleviate postdural puncture h/a?

Answer 20

sphenopalatine block

Question 21

The _____ nerve is the only cranial nerve that is part of the CNS

Answer 21

optic nerve

Question 22

What is the most severe complication of a retrobulbar block?

Answer 22

Post-retrobulbar block apnea syndrome

Question 23

What is the first sign of post-retrobulbar apnea syndrome

Answer 23

Contralateral pupil dilation

Question 24

It is important to assess the _________ ________ before performing a retrobulbar block

Answer 24

contralateral pupil

Question 25

With post-retrobulbar apnea syndrome, apnea can last how long?

Answer 25

15-60minutes

Question 26

How quickly does post-retrobulbar apnea syndrome happen after the block

Answer 26

2-5mins

Question 27

What are some treatment options for CRPS

Answer 27

Ketamine infusion
Memantine
Gabapentin
regional sympathetic block
PT
steroids
amitriptyline

Question 28

What are 3 risk factors for CRPS

Answer 28

Females
Previous trauma
previous surgery

Question 29

The descending inhibitory pain pathway uses ________ & ________ as pain inhibitory transmitters

Answer 29

NE
serotonin

Question 30

What causes apnea in post-retrobulbar apnea syndrome

Answer 30

Spread of the LA to the brainstem, as the optic nerve has a direct pathway to the CNS