Exam Questions and CORRECT Answers
Pain - CORRECT ANSWER - an unpleasant sensory and emotional experience associated
with actual or potential tissue damage or described in terms of such damage
viceral pain - CORRECT ANSWER - caused by stimulation of deep pain receptors.
Quality and extent of pain are strong clues of cause
deep somatic pain - CORRECT ANSWER - comes from sources such as blood vessels,
joints, tendons, muscles, and bone
Localized and described as achy or tender
radiating pain - CORRECT ANSWER - starts at the origin but extends to other locations
referred pain - CORRECT ANSWER - pain that is felt in a location other than where the
pain originates
phantom pain - CORRECT ANSWER - pain felt in a body part that is no longer there
psychogenic pain - CORRECT ANSWER - pain for which no physical cause can be
identified
nociceptive pain - CORRECT ANSWER - pain from pain receptors
neuropathic pain - CORRECT ANSWER - complex and chronic pain from injured nerves
misfiring
acute pain - CORRECT ANSWER - short duration and rapid onset of pain that lasts from
seconds to less than 6 months
,chronic pain - CORRECT ANSWER - lasts 3-6 months or longer and interferes with daily
activities
intractable pain - CORRECT ANSWER - severe, chronic pain that is extremely resistant to
relief measures
types of pain quality - CORRECT ANSWER - sharp, dull, aching. throbbing, stabbing,
burning, ripping, searing, tingling
pain periodicity - CORRECT ANSWER - episodic, intermittent, or constant
pain intensity - CORRECT ANSWER - mild, distracting, moderate, severe, intolerable
Transduction - CORRECT ANSWER - nociceptors become activated by perception of
potentially dangerous mechanical, thermal, & chemical stimuli
transmission - CORRECT ANSWER - peripheral nerves carry the pain message to the
dorsal horn of the spinal cord
A delta fibers carry fast pain messages, C fibers carry slow pain messages
pain threshold - CORRECT ANSWER - the point at which a person feels pain
pain tolerance - CORRECT ANSWER - the amount of pain a patient can endure without
its interfering with normal function
Hyperalgesia - CORRECT ANSWER - excessive sensitivity to painful stimuli
Allodynia - CORRECT ANSWER - Pain due to a stimulus that does not normally provoke
pain
, pain modulation - CORRECT ANSWER - changing pain perception by facilitating or
inhibiting pain signals
gate-control theory - CORRECT ANSWER - theory that A delta fibers can block C fiber
pain by blocking the gate
Factors influencing pain - CORRECT ANSWER - emotions, previous pain experience, life
stage, sociocultural factors, and communication & cognitive impairments
Reaction to pain - CORRECT ANSWER - acute pain triggers SNS flight or flight
If pain continues PNS takes over
Unrelieved pain leads to (by system) - CORRECT ANSWER - endocrine: release
hormones, can result in weight loss, tachycardia, fever, increased respirations and death
CV: hypercoagulation, increased HR, BP, cardiac workload, and O2 demand. Can lead to chest
pain, clots and an MI
Musculoskeletal: impaired muscle function, fatigue, and immobility
Respiratory - shallow breathing leads to low tidal volume and increased inspiratory & expiratory
pressures, which can lead to pneumonia, atelectasis, and underventilation
GU: reduced output, urinary retention, fluid overload, hypokalemia, hypertension, and increased
cardiac output
GI: secretions and smooth muscle tone increase, gastric emptying and motility decrease
Pain questions - CORRECT ANSWER - where is the pain? & how bad is it?
What makes it feel worse/better?
describe the pain
How long have you had it? How often do you have it?relief expectations
Ability to perform ADLs/ Mobility
psych/social factors