Deck 3: Pain Types and Viscerogenic Pain Patterns

Question 1

Which of the following is a false statement regarding neuropathic pain?

A) It is usually described as sharp or shooting pain.
B) Acute nerve root irritation tends to be severe.
C) It is not alleviated by narcotics.
D) There is usually muscle spasm associated with the pain.

Answer 1

D
There is no muscle spasm in neurogenic pain. All of the other choices are indicative of neurogenic pain.

Question 2

Superficial somatic referred pain would involve which of the following structures?

A) Bone
B) Nerve
C) Muscles
D) Tendon sheaths

Answer 2

D
Superficial somatic structures involve the skin, superficial fasciae, tendon sheaths, and periosteum. Deep somatic pain comes from pathologic conditions of the periosteum and cancellous bone, nerves, muscles, tendons, ligaments, and blood vessels.

Question 3

What is the minimum Waddell score to place a client in the category of "nonmovement pain dysfunction"?

A) 0
B) 1
C) 2
D) 3

Answer 3

D
A score of 3 or more positive signs places the client in the category of nonmovement dysfunction. This person is said to have a pattern of nonmechanical, pain-focused behavior. One or two signs are a low Waddell score and do not classify the client with a nonmovement dysfunction.

Question 4

Muscle pain from trauma occurs as broken fibers leak _______________ into the interstitial fluid. Fill in the blank.

A) Potassium
B) Sodium
C) Calcium
D) Iron

Question 5

Sensory fibers to the appendix enter at what spinal cord level?

A) T8
B) T9
C) T10
D) T11

Question 6

What is the primary symptom of radiculopathy?

A) Dull aching pain
B) Sharp stabbing pain
C) Loss of range of motion
D) Numbness

Question 7

Bone pain at night is a red flag symptom of what disorder/disease?

A) Cancer
B) Diabetes
C) Osteoporosis
D) Paget's disease

Question 8

When a child is born with an abnormal ear, what part of the body should be examined first for similar dysfunction?

A) Contralateral lung
B) Ipsilateral lung
C) Contralateral kidney
D) Ipsilateral kidney

Question 9

Which of the following should be used to rate pain in an infant?

A) Visual analog scale (VAS)
B) FACES Pain Scale (FPS)
C) Verbal descriptor scale (VDS)
D) Child Facial Coding System (CFCS)

Question 10

Visceral diseases of the abdomen and pelvis are likely to refer pain where?

A) To the shoulders
B) To the back
C) To the arms
D) To the legs

Question 11

What type of trigger points cause pain at rest?

A) Active trigger points
B) Latent trigger points
C) Key trigger points
D) Satellite trigger points

Question 12

Joint pain accompanied by what other condition could be a sign of sexually transmitted diseases?

A) Excessive sweating
B) Skin lesions of the joint
C) Muscle weakness
D) Hair loss

Question 13

The patient who has an increase in pain after taking nonsteroidal antiinflammatory drugs (NSAIDs) should be screened for which medical disorder?

A) Myocardial infarction
B) Peptic ulcer
C) COPD
D) Diabetes

Question 14

Cardiac pain can occur in any structure innervated by ______________ spinal segments. Fill in the blank.

A) C1-C6
B) C2-T8
C) C3-T4
D) C5-T8

Question 15

Painful symptoms that start 3 to 5 minutes after initiating activity and then go away when the client stops suggest pain from what structures?

A) Muscles
B) Nerves
C) Vascular origin
D) Bone