Basics Of Clinical Pain Management Quiz

The S in PQRSTU stands for severity. Severity refers to the extent or seriousness of something, such as the severity of a disease or the severity of a problem. It can also be measured using a severity scale, which helps in categorizing the level of severity. Therefore, the answer includes variations of severity and severity scale to encompass all possible interpretations of the S in PQRSTU.

Sciatica is a condition characterized by pain, tingling, numbness, or weakness that radiates down one or both legs from the lower back. It occurs when the sciatic nerve, which is the longest nerve in the body, becomes compressed or irritated. This compression or irritation can be caused by various factors such as a herniated disc, spinal stenosis, or muscle tightness. The symptoms of sciatica can vary in severity and may worsen with certain movements or activities. Treatment options for sciatica include pain medication, physical therapy, and in some cases, surgery.

Photophobia is a condition characterized by extreme sensitivity to bright light. It can cause discomfort, pain, and even headaches when exposed to light. The term "photophobia" refers to this sensitivity, and it can be used interchangeably with "Photophobia." Both spellings are correct and commonly used to describe this condition.

It is important to ask patients if they are allergic to any medication(s) because allergies can have serious consequences. By knowing about any allergies, healthcare professionals can avoid prescribing or administering medications that could potentially cause an allergic reaction. This helps to ensure the safety and well-being of the patient.

The statement is false because acute pain is defined as pain that lasts for a short period of time, usually less than 3 to 6 months. Chronic pain, on the other hand, is pain that lasts for 6 months or longer. Therefore, the given statement contradicts the definition of acute pain and is incorrect.

Patients are required to notify their physician if they are receiving a controlled substance in the ER. This is important for the physician to have a complete understanding of the patient's medical history and current medications to provide appropriate care and avoid any potential drug interactions or complications. Without this notification, the physician may not be able to make well-informed decisions regarding the patient's treatment.

Opioids are known to cause various side effects, including constipation, drowsiness, and nausea. However, increased respirations are not typically associated with opioid use. Opioids tend to depress the respiratory system, leading to decreased breathing rates and potential respiratory depression. Therefore, increased respirations would be an unexpected side effect of opioids.

Long term use of NSAIDs (nonsteroidal anti-inflammatory drugs) such as ibuprofen, Advil, aspirin, and Ecotrin may lead to ulcers or gastrointestinal (GI) bleeding.

A physician would prescribe aspirin for a patient with cardiac disease because aspirin is commonly used to prevent blood clots. It helps to reduce the risk of heart attack and stroke by thinning the blood and preventing the formation of clots in the arteries. This is particularly important for patients with cardiac disease, as they are at a higher risk of developing blood clots that can lead to serious complications. Gabapentin, sumatriptan, and allopurinol are not typically prescribed for cardiac disease and serve different purposes in the management of other medical conditions.

Acetaminophen, also known as Tylenol, is one of the most common types of poisoning due to its inclusion in many different prescription and over-the-counter medications. Many people may not realize that multiple medications they are taking contain acetaminophen, leading to unintentional overdose. This can be dangerous as high doses of acetaminophen can cause liver damage. Therefore, it is important for individuals to be aware of the presence of acetaminophen in their medications and to follow the recommended dosage guidelines to avoid overdose.

Referred pain is the perception of pain in an area that is distant from the actual site of painful stimuli. This occurs when sensory nerves from different areas of the body converge onto the same nerve pathways in the spinal cord. As a result, the brain may interpret the pain signals as coming from a different location than the actual source of the pain. This phenomenon is commonly seen in conditions such as heart attacks, where pain is often felt in the left arm or jaw instead of the chest.

The patient's symptoms of vomiting, nausea, pallor, and diaphoresis suggest that the pain being experienced is likely visceral pain. Visceral pain originates from the internal organs and is often described as a deep, dull, and poorly localized sensation. These symptoms are commonly associated with visceral pain, as the autonomic nervous system can be activated, leading to symptoms such as vomiting and diaphoresis. Deep somatic pain, chronic pain, and referred pain would not typically present with these specific symptoms.

Narcan is the correct answer because it is a medication used to reverse the effects of opioid overdose, including respiratory depression. It works by binding to the opioid receptors in the brain, blocking the effects of opioids and restoring normal breathing. Therefore, if a patient is experiencing respiratory depression, a physician may prescribe Narcan to counteract the effects and help improve breathing.

Muscle strains, compression fractures, and spinal disc herniation are all known causes of back pain. Muscle strains occur when the muscles in the back are overstretched or torn, leading to pain and discomfort. Compression fractures are typically caused by osteoporosis or trauma, and they involve the collapsing of a vertebra in the spine, resulting in pain and potential nerve damage. Spinal disc herniation, also known as a slipped or ruptured disc, occurs when the soft cushioning discs between the vertebrae in the spine become damaged or displaced, causing pain and sometimes nerve irritation. Inguinal hernias, however, do not typically cause back pain and are not listed as a cause in this question.

Deep somatic pain refers to pain that originates from structures such as blood vessels, joints, tendons, muscles, and bone. This type of pain can be caused by various factors including pressure, trauma, or ischemia. Unlike cutaneous pain which arises from the skin, deep somatic pain is felt deeper within the body. Visceral pain, on the other hand, originates from internal organs, and referred pain is felt in a different location than the source of the pain. Therefore, deep somatic pain is the most appropriate answer based on the given information.

Fentanyl and tramadol are both opioid analgesics. Opioid analgesics are medications that are used to relieve pain by binding to opioid receptors in the brain and spinal cord. Fentanyl is a potent synthetic opioid that is often used for severe pain, while tramadol is a weaker opioid that is used for moderate to moderately severe pain. Ibuprofen and Toradol, on the other hand, are nonsteroidal anti-inflammatory drugs (NSAIDs) and do not belong to the opioid class of analgesics.

A steroid injection is not considered a non-pharmacological intervention for pain because it involves the administration of medication directly into the body. Non-pharmacological interventions are typically non-drug treatments that aim to alleviate pain without the use of medications. Examples of non-pharmacological interventions for pain include acupuncture, guided imagery, and the application of heat.

Acute pain refers to pain that is short-term, self-limiting, and follows a predictable trajectory. It is a type of pain that typically occurs suddenly and is often caused by an injury or illness. This type of pain is expected to resolve once the underlying cause or injury heals. Therefore, the correct answer choices for this question are short term, self-limiting, and predictable trajectory.

A physician would prescribe morphine, hydrocodone, and fentanyl for chronic pain. These medications are opioids commonly used to manage moderate to severe pain. They work by binding to opioid receptors in the brain and spinal cord, reducing the perception of pain. Hydrochlorothiazide, on the other hand, is a diuretic used to treat high blood pressure and fluid retention, and it is not indicated for chronic pain.