Pathophysiology Of Pain Quiz

20 Questions | By CEOnline | Last updated: Mar 22, 2022 | Total Attempts: 1146

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Please select the best answer from the options provide for each question below. There are twenty questions and a score of at least 60% is needed to obtain 1. 0 category A credit. You have unlimited attempts to successfully complete this quiz.

Questions and Answers

1.

Which of the following may be involved in chronic pain?
- A.
  
  The central nervous system
- B.
  
  Euroendocrine pathways
- C.
  
  Both A & B
2.

Which of the following may achieve desensitization?
- A.
  
  Occupational therapy
- B.
  
  Acupuncture
- C.
  
  Both A & B
3.

Central nervous system inhibition can be elicited by causing constant, frequent stimulation in the peripheral nervous system:
- A.
  
  Peripheral stimulation has nothing to do with central processing
- B.
  
  False
- C.
  
  True
4.

Acupuncture as a treatment modality for chronic pain can have an effect on:
- A.
  
  Psychosocial context & neuroendocrine pathways
- B.
  
  CNS processing & psychosocial context
- C.
  
  CNS processing & neuroendocrine pathways
- D.
  
  None of the above
5.

Catgut acupuncture causes constant stimulation of acupuncture points. The study referred to in the presentation found this novel approach to be useful in:
- A.
  
  Fibromyalgia
- B.
  
  Low back pain
- C.
  
  IBS pain
- D.
  
  Pelvic pain syndrome
6.

In order to elicit constant stimulation of acupuncture points, without implanting sheep intestine into the acupuncture point, we may consider what as an alternative?
- A.
  
  Tapping the needles
- B.
  
  Acupressure
- C.
  
  Press needles or seeds
- D.
  
  Implanting a synthetic tissue instead
7.

When addressing the psychosocial context in chronic pain patient’s, we should consider their:
- A.
  
  Access to resources
- B.
  
  Support networks
- C.
  
  Both A & B
8.

Animal studies have shown that Persicaria hydropiper..
- A.
  
  Affects inflammatory markers only
- B.
  
  Affects inflammatory markers & opioid receptors
- C.
  
  Affects inflammatory markers, opioid receptors & glutamatergic pathways
- D.
  
  Has no analgesic affect
9.

Animal studies have shown that Vanda tessellate..
- A.
  
  Affects inflammatory markers only
- B.
  
  Affects inflammatory markers & CNS pain processing
- C.
  
  Affects inflammatory markers, CNS & PNS pain processing
- D.
  
  Has no analgesic affect
10.

Animal studies have shown that Croton cordiifolius..
- A.
  
  Affects inflammatory markers only
- B.
  
  Affects inflammatory markers & opioid receptors
- C.
  
  Affects inflammatory markers & glutamatergic pathways
- D.
  
  Has no analgesic affect
11.

Which of the following statements regarding TENS is most true?
- A.
  
  TENS is only effective in certain individuals because of differences in gene expression
- B.
  
  TENS is only effective in specific pain conditions
- C.
  
  It is most effective when intensity is increased throughout the treatment and when pain is at its worst
- D.
  
  Studies have shown TENS has no efficacy in the treatment of chronic pain
12.

Which of the following statements regarding TENS is most true?
- A.
  
  The mechanism is unknown
- B.
  
  Causes sensitization and inhibits opioid receptors
- C.
  
  Causes desensitization and stimulates opioid receptors
- D.
  
  None of the above
13.

Other neurocutaneous electrical stimulation devices:
- A.
  
  Use differing frequencies & intensities "scramble" afferent pain signals and replace pain signals with "non-pain" information through conventional lines of neural transmission.
- B.
  
  Have the potential to affect gene expression
- C.
  
  Both A & B
14.

Which of the following statements regarding B12 is most true?
- A.
  
  Its analgesic affect remains elusive
- B.
  
  It is only an effective analgesic when a person is deficient
- C.
  
  Animal studies show it has an analgesic effect independent of deficiency
- D.
  
  Deficiency is rare in pain conditions
15.

Serotonin is involved in chronic pain because:
- A.
  
  It is the way the brain and gut communicate
- B.
  
  People who are depressed always have chronic pain
- C.
  
  Some serotenergic activation inhibits spinal nociception and some activation enhances spinal nociception
- D.
  
  People who are happy never experience pain
16.

The difference in people with chronic pain who respond to SSRI’s and those that do not may in part be explained by:
- A.
  
  The health of their gut
- B.
  
  Protein intake in the diet
- C.
  
  Polymorphisms in genes involved in serotonin receptors
- D.
  
  The preconceived ideas the individual has regarding antidepressant drug therapy
17.

Acceptance-based therapy:
- A.
  
  Does not apply to chronic pain
- B.
  
  Is only useful in patients with chronic pain and a diagnosed psychological condition
- C.
  
  Teaches patients to stay in contact with negative emotions, sensations, and thoughts instead of using ineffective control & / or avoidance strategies
- D.
  
  Can only be administered in interdisciplinary rehabilitation settings
18.

Whether or not serotonergic inhibits nociception
- A.
  
  Is dependent on the gut microbiome
- B.
  
  Is dependent on tryptophan intake
- C.
  
  Is receptor dependent
- D.
  
  Is dependent on the mood of the individual
19.

Vitamin D:
- A.
  
  Has no effect on pain
- B.
  
  Only affects musculoskeletal pain
- C.
  
  Deficiency is common in pain conditions and supplementation often reduces pain
- D.
  
  Has no correlation with the risk of statin-induced myalgia
20.

The gut microbiome is potentially associated with chronic pain because:
- A.
  
  It has an effect on dopamine levels
- B.
  
  It can decrease epinephrine levels, therefore decreasing the stress response
- C.
  
  It has an effect serotonergic pathways and serotonin synthesis
- D.
  
  It enhance tryptophan absorption