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This document, "PNR 106 Exam 4 Study Guide," covers pain management topics including nociceptive
and neuropathic pain, pain relief medications, pain behavior, and non-pharmacological interventions.
The 44 questions with correct answers and detailed explanations provide a comprehensive review of
pain management concepts for exam preparation. Students can use this study guide to review and
understand key concepts, reinforcing their knowledge and application of pain management principles.
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EXAM QUESTIONS
QUESTION 1
What condition is associated with nociceptive pain?
CORRECT ANSWER
Trauma
RATIONALE: Nociceptive pain is caused by actual or potential tissue damage, which is a fundamental characteristic of
trauma, a condition that results from physical injury or harm. The relationship between trauma and nociceptive pain is
rooted in the body's natural response to injury, where nociceptors detect and transmit pain signals to the brain in
response to tissue damage.
QUESTION 2
What medications are not good at relieving neuropathic pain?
CORRECT ANSWER
Opioids
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, RATIONALE: Opioids are not effective at relieving neuropathic pain because they are primarily designed to target the
mu-opioid receptors, which are responsible for analgesia related to nociceptive pain, not neuropathic pain.
Neuropathic pain is characterized by abnormal nerve impulses and requires treatments that target the underlying
pathophysiology, such as anticonvulsants or antidepressants, making opioids an inadequate option.
QUESTION 3
What will you see with acute pain, what can make it worse?
CORRECT ANSWER
Anxiety
RATIONALE: When experiencing acute pain, anxiety often arises due to the body's natural stress response, releasing
hormones like adrenaline that can amplify the sensation of pain. As a result, anxiety can create a vicious cycle where
the individual's fear of pain exacerbates the sensation, worsening the overall experience.
QUESTION 4
What are terms that describes frequency of pain?
CORRECT ANSWER
Intermittent and constient
RATIONALE: "Intermittent" refers to pain that occurs at irregular intervals, varying in duration and frequency, which is
a common descriptor of how pain can manifest in different individuals. "Constant" pain, on the other hand, is a term
used to describe pain that persists and recurs at predictable and frequent intervals, providing a contrasting description
of pain frequency in relation to intermittent pain.
QUESTION 5
Where does abdominal referred pain occur?
CORRECT ANSWER
Between shoulder blades & back
RATIONALE: Abdominal referred pain occurs between the shoulder blades and back due to the common nerve roots
shared between the abdominal organs and the muscles in this region, causing pain to be perceived in a different
location from the actual source of the pain. This phenomenon is known as referred pain, where the brain
misinterprets the location of pain based on the convergence of nerve signals from both the abdominal organs and the
referred area.
QUESTION 6
I have a PCA for pain, what might you need to educate my family about?
CORRECT ANSWER
They are not allowed to press the button
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