Question 1

It is not uncommon to encounter older adults who are reluctant to use pain medication for fear of addiction.

Accepted Answer

Many older adults may have concerns about addiction due to past experiences, misconceptions, or lack of information about modern pain management practices.

Question 2

Although there are no active ingredients in a homeopathic solution, it helps the body to begin to heal itself by using its own defense mechanisms.

Accepted Answer

Homeopathy is based on the principle that substances that cause symptoms in a healthy person can, in very small doses, treat similar symptoms in a sick person, potentially stimulating the body's natural defenses.

Question 3

Safety of Chinese herbal medicines is a concern because they are not tested for safety as they are considered supplements.

Accepted Answer

Chinese herbal medicines are often classified as dietary supplements, which means they may not undergo the same rigorous safety testing as pharmaceutical drugs.

Question 4

Neurotransmitters are released from nociceptor endings in the brain and trigger signals to the dorsal horn neurons during what process of the pain pathway?

Accepted Answer

The answer of Neurotransmitters are released from nociceptor endings in...

Question 5

What pain measurement instrument assesses major symptoms of both neuropathic and non-neuropathic pain?

Accepted Answer

The McGill Pain Questionnaire (MPQ) is designed to evaluate a wide range of pain experiences, including both neuropathic and non-neuropathic pain, by assessing the quality and intensity of pain through descriptive words.

Question 6

What medical condition is often associated with chronic pain?

Accepted Answer

Chronic pain is often associated with depression, as the persistent discomfort can lead to feelings of hopelessness and sadness, and depression can also exacerbate the perception of pain.

Question 7

Although it can be used as a method of self-defense, which of the following is practiced by many to combine gentle exercise, meditation, and deep breathing?

Accepted Answer

Tai chi is practiced by many to combine gentle exercise, meditation, and deep breathing, making it a popular choice for both physical and mental well-being.

Question 8

Which of the following whole diet therapies has been suggested to possibly decrease body inflammation and, therefore, decrease pain?

Accepted Answer

The Mediterranean Diet is rich in anti-inflammatory foods like fruits, vegetables, whole grains, and healthy fats, which can help reduce inflammation and associated pain.

Question 9

What type of pain increases above the level of pain addressed by the prescribed analgesic and includes end-of-dose failure and incident pain?

Accepted Answer

Breakthrough pain is a type of pain that occurs despite the use of regular pain medication, often due to end-of-dose failure or incident pain.

Question 10

What strong opioid has a long half-life and is useful for relieving neuropathic pain?

Accepted Answer

Methadone has a long half-life and is effective in treating neuropathic pain due to its NMDA receptor antagonism and opioid receptor activity.

Question 11

Some elderly persons will not accurately report pain because they do not want to be perceived as complainers.

Accepted Answer

Some elderly individuals may underreport pain due to fear of being seen as complainers or due to cultural or generational attitudes towards expressing discomfort.

Question 12

Because pain is a subjective experience, self-report is the most reliable and accurate information.

Accepted Answer

Self-report is considered the most reliable method for assessing pain because it directly reflects the individual's personal experience and perception, which cannot be objectively measured by others.

Question 13

Aging causes decreased pain perception, sensitivity, and tolerance.

Accepted Answer

Aging can lead to changes in pain perception, but it often results in increased sensitivity and decreased tolerance to pain, not decreased perception.

Question 14

The pathway of nociceptive pain is characterized by the movement of the action potentials from the site of noxious stimulus to the dorsal horn at the base of the brain by way of dorsal root ganglion?

Accepted Answer

Transmission refers to the process of conveying pain signals from the site of injury to the central nervous system, including the dorsal horn of the spinal cord.

Question 15

What type of pain is felt as painful in response to a nonpainful stimulus and accompanied by normal appearing tissue, such as an older adult feeling discomfort with bed sheets resting on the legs or feet?

Accepted Answer

Allodynia is a condition where pain is caused by a stimulus that does not normally provoke pain, such as light touch or pressure, and is often associated with normal appearing tissue.

Question 16

What type of pain medications have a ceiling effect in which increasing the dose beyond a certain point does not increase the analgesic effect, but only increases risk?

Accepted Answer

Nonsteroidal anti-inflammatory drugs (NSAIDs) have a ceiling effect, meaning that increasing the dose beyond a certain point does not enhance pain relief but can increase the risk of side effects.

Question 17

Which of the following adjuvant medications should be used with caution in older men with benign prostatic hyperplasia or increased intraocular pressure?

Accepted Answer

The answer of Which of the following adjuvant medications should...

Question 18

What whole medical system functions on the belief that if the body is supported and the barriers to cure are removed, the body will heal itself?

Accepted Answer

Naturopathic medicine is based on the belief that the body has an innate ability to heal itself when supported and when obstacles to cure are removed.

Question 19

What whole medical system emphasizes "curing illnesses that have not yet happened rather than curing illness"?

Accepted Answer

Traditional Chinese medicine emphasizes preventive care and maintaining balance to prevent illness before it occurs.

Question 20

What traditional Chinese medical treatment became newsworthy during the 2016 Summer Olympics when several swimmers displayed bluish circular hematomas over their upper shoulder area?

Accepted Answer

Cupping became newsworthy during the 2016 Summer Olympics when athletes like Michael Phelps were seen with circular bruises, which are a result of this therapy.

Quiz 25: Pain Management and Alternative Health Modalities