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Pathophysiology Chapter 4 — Multiple Choice Worksheet

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

Multiple Choice — Identify the choice that best completes the statement or answers the question: Impulses related to acute pain are usually transmitted by

a)

nociceptors

b)

myelinated A delta fibers

c)

unmyelinated C fibers

d)

any sensory fiber with a low pain threshold

2.

Multiple Choice — Identify the choice that best completes the statement or answers the question: Through which structure do pain impulses ascend the spinal cord?

a)

Reticular formation

b)

Corticospinal tract

c)

Spinothalamic tract

d)

Relevant dermatome

3.

Multiple Choice — Identify the choice that best completes the statement or answers the question: According to the gate-control theory, the passage of pain impulses may be naturally blocked

a)

at the synapse by the entry of other sensory impulses.

b)

by the stress response.

c)

by administration of morphine directly into the spinal cord.

d)

by referring the pain to other parts of the body.

4.

Multiple Choice — Identify the choice that best completes the statement or answers the question: What term is used to describe the degree of pain endured before an individual takes action?

a)

Pain threshold

b)

Referred pain

c)

Phantom pain

d)

Pain tolerance

5.

Multiple Choice — Identify the choice that best completes the statement or answers the question: What is the definition of endorphins?

a)

Neurotransmitters at the nociceptors

b)

Transmitters for sensory impulses

c)

Opiate-like blocking agents in the central nervous system

d)

Pain-causing chemical mediators

6.

Multiple Choice — Identify the choice that best completes the statement or answers the question: Pain perceived in the left arm during a heart attack is an example of

a)

referred pain.

b)

phantom pain.

c)

chronic pain.

d)

subjective pain response.

7.

Multiple Choice — Identify the choice that best completes the statement or answers the question: A headache related to changes in cerebral blood flow is classified as a/an ______ headache.

a)

tension

b)

sinus

c)

migraine

d)

intracranial

8.

Multiple Choice — Identify the choice that best completes the statement or answers the question: What is a common analgesic administered to control a moderate level of pain?

a)

Meperidine

b)

Acetaminophen

c)

Codeine

d)

Ibuprofen

9.

Multiple Choice — Identify the choice that best completes the statement or answers the question: Which of the following applies to spinal anesthesia?

a)

It causes analgesia with loss of consciousness.

b)

The drug is injected into the cerebrospinal fluid (CSF) or the epidural space of the spinal cord.

c)

The drug stimulates the release of endorphins in the spinal cord.

d)

The transmission of pain impulses is blocked in a small area of the body.

10.

Multiple Choice — Identify the choice that best completes the statement or answers the question: Which of the following is a characteristic of acute pain, but not of chronic pain?

a)

Depression and debilitation

b)

A perception of increased generalized pain and discomfort

c)

Fatigue and lower pain tolerance

d)

Severe but short-term

11.

Multiple Choice — Identify the choice that best completes the statement or answers the question: What is the role of nociceptors?

a)

Pain receptors that are stimulated by thermal, chemical, or physical means.

b)

Spinal nerves that conduct impulses from specific areas of the skin.

c)

Responsible for the state of arousal with pain.

d)

Useful in localizing pain to a specific area of the body.

12.

Multiple Choice — Identify the choice that best completes the statement or answers the question: Intractable pain is best defined as:

a)

Pain that is perceived as occurring in an amputated limb.

b)

Severe pain that cannot be controlled by medication.

c)

Pain perceived as coming from a source other than the actual source.

d)

Pain coming from a specific dermatome.

13.

Multiple Choice — Identify the choice that best completes the statement or answers the question: Which of the following statements is TRUE?

a)

The brain is more aware of pain impulses when the reticular activating system is depressed.

b)

Acute pain does not cause a reflex response at the spinal cord synapses.

c)

Young infants typically respond to pain with tachycardia and increased blood pressure.

d)

Chronic pain is easier to tolerate without negative effects.

14.

Multiple Choice — Identify the choice that best completes the statement or answers the question: Ibuprofen is classified as an NSAID and is particularly useful for treating

a)

severe pain.

b)

pain caused by inflammation.

c)

intracranial pain.

d)

pain in young infants.

15.

Multiple Choice — Identify the choice that best completes the statement or answers the question: Which of the following analgesics acts to reduce pain at the peripheral site?

a)

Acetaminophen

b)

Morphine

c)

Codeine

d)

Intravenous general anesthesia

16.

Multiple Choice — Identify the choice that best completes the statement or answers the question: Cancer-related pain has been categorized into three basic types: pain caused by the progression of the disease and resulting damage to the body, pain that is the result of a coexisting disease unrelated to the cancer, and

a)

phantom pain as a result of amputation.

b)

pain associated with the treatment of the disease.

c)

pain caused by emotional stress and metabolic changes.

d)

pain associated with damage to the peripheral nerves.

17.

Multiple Choice — Identify the choice that best completes the statement or answers the question: Pain caused by trauma or disease involving the peripheral nerves is referred to as

a)

neuropathic pain.

b)

central pain.

c)

neurogenic pain.

d)

referred pain.

18.

Multiple Choice — Identify the choice that best completes the statement or answers the question: Pain resulting from a profound, sudden loss of blood flow to an organ or tissue in a specific area of the body is referred to as

a)

chronic pain.

b)

central pain.

c)

cardiovascular pain.

d)

ischemic pain.

19.

Multiple Choice — Identify the choice that best completes the statement or answers the question: Which of the following is a characteristic of chronic pain?

a)

It usually initiates a physiological stress response.

b)

It always involves a strong emotional response, such as high anxiety.

c)

It is more difficult to diagnose and treat than acute pain.

d)

It involves tissue damage to a specific organ.

20.

Multiple Choice — Identify the choice that best completes the statement or answers the question: A headache that results from pressure on the meninges surrounding the brain is referred to as a/an

a)

intracranial headache.

b)

intrameningeal headache.

c)

migraine headache.

d)

cerebral headache.

21.

Multiple Choice — Identify the choice that best completes the statement or answers the question: Opioids released within the central nervous system are secreted by:

a)

astrocytes.

b)

motoneurons.

c)

oligodendrocytes.

d)

interneurons.

22.

Multiple Choice — Identify the choice that best completes the statement or answers the question: The release of neuropeptides due to a reduction in serotonin is often the cause of:

a)

migraine.

b)

tension headache.

c)

phantom pain.

d)

visceral pain.

23.

Multiple Choice — Identify the choice that best completes the statement or answers the question: Trigger point injections may be used to help relieve pain in:

a)

acute pain.

b)

phantom pain.

c)

fibromyalgia.

d)

arthritis.

24.

Multiple Choice — Identify the choice that best completes the statement or answers the question: A non-medication therapy that can be used in pain management and can be self-administered is:

a)

Trigger point injection.

b)

TENS.

c)

Bioelectric therapy.

d)

Trigger point injection and TENS.

25.

Multiple Choice — Identify the choice that best completes the statement or answers the question: A therapy that induces the production of endorphins to help relieve pain and should only be used as part of a total pain management program is

a)

TENS.

b)

trigger point injections.

c)

bioelectric therapy.

d)

surgical implants.