NURS 351 - Pain Syndromes correctly
solved 2024-2025 updated
CANCER PAIN - correct answer ✔✔-dull, sharp, aching pain
-intermittent or chronic
-tumors cause pain by placing pressure on or destroying adjacent structures
-cells release enzymes or inflammatory mediators that penetrate/irritate tissues
-chemo: painful side effects such as mouth sores, diarrhea, and nerve damage
-radiation: burning sensation in the radiated region
-bone pain occurs often with metastatic cancers
SPINAL NERVE RADICULOPATHY - correct answer ✔✔-Spinal nerve impingement
-Lumbosacral area: Often affecting sciatic nerve leading to "sciatica", pain radiates down the leg with
numbness and tingling of foot
-Cervical radiculopathy: spinal nerve impingement in neck area - numbness in hand and fingers
DIABETIC PERIPHERAL NEUROPATHY - correct answer ✔✔-Both sensory and motor nerves are affected:
high glucose levels cause cellular damage, structural breakdown of nerves -Loss of pain sensation may
allow for further wounding undetected by patient: Assessment of extremity health is important part of
diabetic care
POST-HERPETIC NEURALGIA - correct answer ✔✔-Varicella zoster "chickenpox"
-Remains dormant along nerves after infection
-Reemerges as "shingles" (renamed "herpes zoster" when in an adult)
-Commonly produces acute, vesicular, and linear rash along specific nerve
-Painful
-Oral TCAs, pregabalin, and the lidocaine 5% patch are recommended as first line therapies
FIBROMYALGIA - correct answer ✔✔-Pain presents at specific, exact tender points
solved 2024-2025 updated
CANCER PAIN - correct answer ✔✔-dull, sharp, aching pain
-intermittent or chronic
-tumors cause pain by placing pressure on or destroying adjacent structures
-cells release enzymes or inflammatory mediators that penetrate/irritate tissues
-chemo: painful side effects such as mouth sores, diarrhea, and nerve damage
-radiation: burning sensation in the radiated region
-bone pain occurs often with metastatic cancers
SPINAL NERVE RADICULOPATHY - correct answer ✔✔-Spinal nerve impingement
-Lumbosacral area: Often affecting sciatic nerve leading to "sciatica", pain radiates down the leg with
numbness and tingling of foot
-Cervical radiculopathy: spinal nerve impingement in neck area - numbness in hand and fingers
DIABETIC PERIPHERAL NEUROPATHY - correct answer ✔✔-Both sensory and motor nerves are affected:
high glucose levels cause cellular damage, structural breakdown of nerves -Loss of pain sensation may
allow for further wounding undetected by patient: Assessment of extremity health is important part of
diabetic care
POST-HERPETIC NEURALGIA - correct answer ✔✔-Varicella zoster "chickenpox"
-Remains dormant along nerves after infection
-Reemerges as "shingles" (renamed "herpes zoster" when in an adult)
-Commonly produces acute, vesicular, and linear rash along specific nerve
-Painful
-Oral TCAs, pregabalin, and the lidocaine 5% patch are recommended as first line therapies
FIBROMYALGIA - correct answer ✔✔-Pain presents at specific, exact tender points
