chronic pain pbl quiz - ENJOY UR HOLIDAY

chronic pain is generally classified as:

• physiological + nociceptive

• physiological + neuropathic

• pathological + neuropathic

• pathological + nociceptive

Answer explanation

Chronic pain is classified as pathological + neuropathic. This combination generally describes the nature of chronic pain.

standard pathological/chronic pain timeframe?

• >2 weeks

• >3 months

• >1 year

• no set period

Answer explanation

The standard pathological/chronic pain timeframe is >3 months.

what is the limbic system? (look at the image if u want a hint)

• part of nervous system that innervate upper and lower limb e.g. brachial plexus

• the "emotional brain" that relates to distress, motivation, pain, reward, etc..

• the part of the somatosensory cortex that controls limbs

Answer explanation

The limbic system is the 'emotional brain' that relates to distress, motivation, pain, reward, etc. It is responsible for emotional responses and plays a crucial role in regulating emotions.

a patient presents as shown in the image, functionally limitng or disabling pain, which one of these findings may indicate the presentation?

• 
• 
• 
• all?

Answer explanation

no objective pathology in 3rd option, however illness does NOT = disease. the subjective experience that the patient is experience does not necessarily have to be caused by a "biological event" - disease.

how might we process acute + chronic pain?

• through nociceptors through spinothalmic tract and dorsal horn and goes to "pain cortex"

• complex "connectome" in brain involving many areas, which combine emotion, intensity, control, motor function, etc...

• we don't know?

Answer explanation

we do know, and there isn't really such thing as a "pain cortex", rather there are multiple parts of the brain that aren't necessarily activated by pain, but are still a part of the processing. e.g. nucleus accumbens in brain is involved with emotions, value and also the maladaptive pain-related emotion and behaviour

risk factors of chronic pain, discuss

• DISCUSS

• DISCUSS

Answer explanation

https://cks.nice.org.uk/topics/chronic-pain/background-information/risk-factors/