MCA1 Exam 4 Questions & Answers (Grade A+).docx

MCA1: Exam 4 Questions & Answers
(Grade A+)
Nociceptive Pain -
correct answer ✅Somatic or visceral tissue: Surgical incision,
broken bone, arthritis
Usually responsive to opioids and nonopioids


Somatic Pain -
correct answer ✅Superficial: skin, mucous membranes, subQ
Localized


Deep: muscles, fasciae, bones, tendons
Localized or diffuse/radiating


Visceral Pain -
correct answer ✅Internal organs: GI, bladder
Well or poorly localized
Can be referred to skin


Neuropathic Pain -
correct answer ✅PNS or CNS: Numb, burning, shooting, stabbing,
or electrical
Sudden, intense, short-lived, or lingering

,MCA1: Exam 4 Questions & Answers
(Grade A+)

Not responsive to opioids alone, require adjuvant: TCAs, SNRIs,
antiseizure, α₂-RA


Acute Pain S/Sx -
correct answer ✅Tachycardia
Tachypnea
Hypertension
Diaphoresis
Pallor
Agitation
Urine retention


Chronic Pain S/Sx -
correct answer ✅Fatigue
Depression
Flat affect
Withdraw from social interaction

, MCA1: Exam 4 Questions & Answers
(Grade A+)
Chronic Pain Tx Goals -
correct answer ✅"What is a tolerable pain level for you?"
"What pain level will allow you to function as normal as possible?"


Nonopioids -
correct answer ✅Analgesic ceiling
No tolerance or addiction


Usually OTC: NSAIDs, acetaminophen


Opioids -
correct answer ✅Bind CNS receptors:
Inhibit nociceptive transmission,
Altered limbic activity,
Activate descending inhibitory pathways


Opioids: Pure agonists -
correct answer ✅Morphine,oxycodone, and codeine


Potent