1.
Many people imagine that a life without pain is desirable. Evidence from people with chronic pain insensitivity indicate that
Correct Answer
D. Pain insensitivity is dangerous
Explanation
The correct answer is "pain insensitivity is dangerous." This is because pain serves as a protective mechanism for our bodies. It alerts us to potential harm or injury, allowing us to take necessary actions to prevent further damage. Without the ability to feel pain, individuals may not be aware of injuries or health issues, leading to delayed or inadequate treatment. This can result in further complications and risks to their overall well-being.
2.
The substantia gelatinosa is
Correct Answer
A. In the dorsal horns of the spinal cord
Explanation
The substantia gelatinosa is located in the dorsal horns of the spinal cord. This region is known for its gelatin-like material and is responsible for processing and transmitting pain signals. It is a well-established structure in the nervous system and plays a crucial role in pain perception and modulation.
3.
Which structure is most capable of modulating sensory input?
Correct Answer
C. Substantia gelatinosa
Explanation
The substantia gelatinosa is a structure in the spinal cord that is involved in modulating sensory input. It acts as a gatekeeper, regulating the transmission of sensory signals from the periphery to the brain. It can inhibit or facilitate the transmission of pain signals, allowing for modulation of sensory input based on the needs of the organism. The primary and secondary afferents, on the other hand, are responsible for transmitting sensory information from the periphery to the spinal cord and brain, respectively. The primary efferents are motor neurons that carry signals from the spinal cord to the muscles.
4.
Neurotransmitters like ___ decrease pain, but those like ___ increase the experience of pain.
Correct Answer
B. EndorpHin...substance P
Explanation
Endorphins are neurotransmitters that decrease pain, while substance P is a neurotransmitter that increases the experience of pain. Therefore, the correct answer is endorphin...substance P.
5.
Victoria has just cut her hand with a sharp knife. The pain she feels can best be described as
Correct Answer
A. Acute
Explanation
The word "acute" means sharp or severe, which accurately describes the pain that Victoria feels after cutting her hand with a sharp knife. It suggests that the pain is intense and immediate, rather than a long-lasting or ongoing sensation.
6.
Henry Beecher reported that soldiers wounded at the Anzio beachhead during WWII experienced __ pain.
Correct Answer
D. Very little
Explanation
During WWII, Henry Beecher observed that soldiers wounded at the Anzio beachhead experienced very little pain. This suggests that the soldiers may have been in a state of shock or had adrenaline running through their bodies, which could have numbed their pain receptors. Additionally, the high-stress environment and intense focus on survival may have distracted the soldiers from feeling pain.
7.
What is the relationship between the experience of pain and some types of psychopathology?
Correct Answer
D. It is not clear whether psychopathology makes one vulnerable to pain or whether being in pain produces psychopathology
Explanation
There is uncertainty regarding the relationship between psychopathology and pain. It is unclear whether psychopathology increases the susceptibility to experiencing pain or if being in pain leads to the development of psychopathology.
8.
Specificity theory hypothesizes that
Correct Answer
C. The experience of pain is approximately equal to the amoung of tissue damage or injury
Explanation
According to the given answer, the experience of pain is approximately equal to the amount of tissue damage or injury. This suggests that the intensity of pain is primarily determined by the extent of physical damage or injury to the body. In other words, the more severe the tissue damage, the more intense the pain experienced by an individual. This explanation aligns with the assumption that the physical condition of the body directly influences the perception and intensity of pain.
9.
According to the gate control theory of pain, ___ close the gate.
Correct Answer
B. Distraction and relaxation
Explanation
According to the gate control theory of pain, distraction and relaxation can close the gate. This theory suggests that the perception of pain is influenced by the balance between the signals from pain fibers and the signals from other sensory fibers. When a person is distracted or relaxed, it can reduce the transmission of pain signals to the brain, effectively closing the gate and reducing the perception of pain.
10.
Melzack proposed the ___ theory, which is an extension of the gate control theory.
Correct Answer
C. Neuromatrix
Explanation
Melzack proposed the neuromatrix theory, which is an extension of the gate control theory. The neuromatrix theory suggests that pain is not solely determined by sensory input, but also influenced by cognitive and emotional factors. It proposes that the brain contains a network of neurons, or a "neuromatrix," that generates pain sensations and can be influenced by various factors. This theory helps to explain why individuals may experience different levels of pain in response to similar stimuli and why psychological factors can impact pain perception.
11.
Which of these methods have been used to measure pain?
Correct Answer
D. All of these
Explanation
All of these methods have been used to measure pain. Self-reports involve individuals describing their pain experience, while behavioral assessments involve observing pain-related behaviors such as facial expressions or body movements. Physiological measures involve monitoring physiological changes associated with pain, such as heart rate or brain activity. Using a combination of these methods allows for a comprehensive and multi-dimensional assessment of pain.
12.
The most widely used pain questionnaire was developed by Ronald Melzack and is known as the
Correct Answer
D. McGill Pain Questionnaire
Explanation
The McGill Pain Questionnaire, developed by Ronald Melzack, is the most widely used pain questionnaire. This questionnaire is used to assess various aspects of pain, including its intensity, quality, and location. It consists of a list of words that describe different types of pain, and patients are asked to select the words that best describe their pain. The questionnaire provides a comprehensive assessment of pain and helps healthcare professionals understand the subjective experience of pain in patients.
13.
The Multidimensional Pain Inventory was designed to yield three clusters of pain patients. Which of these was NOT a cluster?
Correct Answer
A. Functional
Explanation
The Multidimensional Pain Inventory was designed to yield three clusters of pain patients. One of the clusters was "functional", which refers to patients who are able to maintain normal daily functioning despite experiencing pain. Therefore, "functional" was not a cluster, but rather a characteristic of one of the clusters.
14.
With regard to the measurement of pain, research has demonstrated that
Correct Answer
D. None of these
15.
Rosa suffers from recurrent attacks of pain that are accompanied by exaggerated sensitivity to light, loss of appetite, and nausea. From these characteristics, you would diagnose Rosa as having
Correct Answer
A. Migraine headaches
Explanation
Based on the symptoms described, it is likely that Rosa is suffering from migraine headaches. Migraine headaches are typically characterized by recurrent attacks of pain, sensitivity to light (photophobia), loss of appetite, and nausea. These symptoms align with the symptoms mentioned in the question. Tension headaches, cancer pain, and phantom limb pain do not typically present with the same combination of symptoms.
16.
What type of pain has a gradual onset, sensations of tightness around the neck and shoulders, and a steady ache on both sides of the head?
Correct Answer
D. Tension headache
Explanation
A tension headache is characterized by a gradual onset of pain, with sensations of tightness around the neck and shoulders. It also typically presents as a steady ache on both sides of the head. This type of headache is often caused by muscle tension and stress, and can be relieved with relaxation techniques and over-the-counter pain medication.
17.
The two most common types of pain are
Correct Answer
C. Headache and low back
Explanation
The given answer states that the two most common types of pain are headache and low back pain. This suggests that these two types of pain are experienced by a large number of people compared to other types of pain such as cancer and arthritis. Headaches and low back pain are indeed very common, with many individuals experiencing them at some point in their lives.
18.
Approximately ___% of all terminal cancer cases expeirence pain.
Correct Answer
C. 55-90
Explanation
Approximately 55-90% of all terminal cancer cases experience pain. This wide range suggests that a significant majority of individuals with terminal cancer will likely experience pain as a symptom. The variability in the percentage could be due to factors such as the type and stage of cancer, individual pain tolerance, and treatment options available. It highlights the importance of addressing pain management in palliative care to improve the quality of life for patients with terminal cancer.
19.
With regard to phantom limb pain, which statement is true?
Correct Answer
D. pHantom limb sensations are more common than pHantom limb pain
Explanation
Phantom limb sensations refer to the perception of feeling a limb that is no longer there, while phantom limb pain refers to the perception of pain in the missing limb. The statement "phantom limb sensations are more common than phantom limb pain" is true because many individuals who have undergone amputation experience sensations in their missing limb, but not all of them experience pain. This suggests that phantom limb sensations are more prevalent than phantom limb pain.
20.
Medical procedures used in pain management have traditionally included
Correct Answer
D. Both drugs & surgery
Explanation
The correct answer is both drugs & surgery. Medical procedures used in pain management have traditionally included cognitive therapy, drugs, and surgery. Cognitive therapy helps patients understand and manage their pain through psychological techniques. Drugs, such as painkillers and anti-inflammatory medications, are commonly used to provide relief from pain. Surgery is an option for certain conditions where other methods have not been effective in managing the pain. Therefore, a combination of drugs and surgery is often used to address pain management.
21.
The tolerance and dependence properties of the opiate drugs restrict their safe use to
Correct Answer
A. Severe acute pain
Explanation
Opiate drugs have tolerance and dependence properties, which means that the body can become accustomed to the drug's effects and require higher doses to achieve the same pain relief. This can lead to dependence and addiction. Therefore, their safe use is restricted to severe acute pain, where the benefits of pain relief outweigh the risks of tolerance and dependence. Using them for severe chronic pain or terminal cancer patients may pose a higher risk of dependence and addiction.
22.
Systems of self-paced administration of analgesic drugs
Correct Answer
A. Overcome the problem of undermedication
Explanation
Systems of self-paced administration of analgesic drugs overcome the problem of undermedication. This means that these systems allow patients to have more control over their pain management by being able to administer the medication as needed, rather than relying solely on healthcare professionals to determine the dosage and timing. By giving patients the ability to self-administer the drugs, the chances of undermedication are reduced, ensuring that patients receive adequate pain relief when they need it.
23.
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Correct Answer
B. Include ibuprofen and naproxen sodium
Explanation
The correct answer is "include ibuprofen and naproxen sodium." This means that nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen sodium are part of the group of drugs used to treat rheumatoid arthritis.
24.
Bailey has tried many treatments for chronic back pain. His treatment of last resort would probably be
Correct Answer
A. Surgery
Explanation
An explanation for the correct answer would be that surgery is typically considered a last resort for chronic back pain because it is an invasive procedure that carries risks and potential complications. Other non-invasive treatments such as TENS (transcutaneous electrical nerve stimulation), opium-based drugs, and acupuncture are usually explored first to manage pain before considering surgery. Surgery is usually recommended when all other treatment options have been exhausted and the pain is severe or debilitating.
25.
Researchers have found that transcutaneous electrical nerve stimulation (TENS)
Correct Answer
C. Is not very effective in relieving pain
Explanation
The given answer states that transcutaneous electrical nerve stimulation (TENS) is not very effective in relieving pain. This implies that TENS does not provide significant pain relief and may not be the most effective method for managing pain compared to other medical methods.