Nr 577 midterm Questions With Complete Solutions
____ number of children needing palliative care live in low and
middle income countries
A) 83%
B) 86%
C) 98%
D) 95% Correct Answers C) 98%
____ of people who need palliative care do not receive it
A) 83%
B) 86%
C) 98%
D) 95% Correct Answers B) 86%
____ of the worlds population lack access to pain relief
A) 83%
B) 86%
C) 98%
D) 95% Correct Answers A) 83%
- > 3 months
- rapid onset, typically localized
-Resolves with healing of the underlying injury
-Predictable, physiological warning that something is wrong
- accompanied by:
Pupil Dilation, Diaphoresis. Increase BP/HR, Adrenaline,
Anxiety, Muscular tension/tightness
,-usually nociceptive, may be neuropathic Correct Answers
acute pain characteristics
- Achy, throbbing, dull
-Typically well localized Correct Answers patient description
of Nociceptive Pain (Somatic)
-At least 1 symptom of altered voluntary motor/sensory function
-'Hysterical Blindness,' Paralysis, Abnormal Movement, Seizure,
Amnesia, Incontinence
•Anxiety 'converted' to physical symptom Correct Answers
Conversion Disorder
-Burning, shooting, tingling, radiating, lancinating, numbness.
-Like a fire or an electrical jolt Correct Answers patient
description of Neuropathic Pain
-Distribution of one peripheral nerve
-Sciatic nerve or Ulnar nerve entrapment
-Bell's Palsy (paralysis one side of face)
-Lancinating Pain (Trigeminal Neuralgia) Correct Answers
neuropathy-->peripheral --> mononeuropathy
-Inordinately worried about having a serious illness
-Inaccurate perception of condition of body/mind despite
absence of actual medical diagnosis
-Persists even after a physician has evaluated and reassured
-Serious illnesses or deaths of family members or friends to
trigger hypochondria Correct Answers Hypochondriasis
,-Mental disorder --> Some aspect of one's health or appearance
is severely flawed & requires extreme measures
-Real or imagined flaw
Pervasive and intrusive obsession Correct Answers Body
Dysmorphic Disorder (BDD)
-Pain associated with potentially life-threatening conditions
- difficult to classify by duration or pathology
-"Pain associated with HIV infection"
-"Pain associated with cancer"
-painful diagnostic procedures/treatment Correct Answers
Cancer Pain ('Malignant Pain')
-pain that extends beyond healing period
-amount of pain disproportionate to injury
-disrupts normal living
- no purpose unlike acute pain and harder to treat
- nociceptive, neuropathic, or both
-not typically vital sign changes more behavior changes
(distress, depression, anorexia, insomnia) Correct Answers
chronic pain
-peripheral (mononeuropathy, polyneuropathy)
-central
-sympathetically maintained pain Correct Answers types of
neuropathic pain
-Psychological stress --> Chronic pain in one or more areas,
sometimes for years
•Trauma/Abuse
•Child's role in family is 'the sick one'
, •More common in social settings where psychological distress is
not as accepted Correct Answers pain disorder
-recurring, real, multiple, current somatic complaints
-long and complicated primary care
- treat with cognitive behavioral therapy
- can be due to: Heightened biologic sensitivity?
-Body's attempt to cope with mental/emotional pain?
-Cognitive theories: catastrophic thinking Correct Answers
Somatization Disorder
-Squeezing, pressure, cramping, distention, dull, deep, and
stretching
-After abdominal or thoracic surgery Correct Answers patient
description of
Nociceptive Pain (Visceral)
-subtype of chronic pain
-persistent Pain Not Associated With Cancer
--Mild to Excruciating
-Patients report levels poorly corresponding to identifiable levels
of tissue pathology
-Often responds poorly to standard treatments
-can Affect Any Body System: Correct Answers chronic non-
cancer pain
-Symmetrical on both sides of body
-Diabetic neuropathy
-Guillain-Barre (immune system attacks nerves) Correct
Answers neuropathy-->peripheral --> polyneuropathy
____ number of children needing palliative care live in low and
middle income countries
A) 83%
B) 86%
C) 98%
D) 95% Correct Answers C) 98%
____ of people who need palliative care do not receive it
A) 83%
B) 86%
C) 98%
D) 95% Correct Answers B) 86%
____ of the worlds population lack access to pain relief
A) 83%
B) 86%
C) 98%
D) 95% Correct Answers A) 83%
- > 3 months
- rapid onset, typically localized
-Resolves with healing of the underlying injury
-Predictable, physiological warning that something is wrong
- accompanied by:
Pupil Dilation, Diaphoresis. Increase BP/HR, Adrenaline,
Anxiety, Muscular tension/tightness
,-usually nociceptive, may be neuropathic Correct Answers
acute pain characteristics
- Achy, throbbing, dull
-Typically well localized Correct Answers patient description
of Nociceptive Pain (Somatic)
-At least 1 symptom of altered voluntary motor/sensory function
-'Hysterical Blindness,' Paralysis, Abnormal Movement, Seizure,
Amnesia, Incontinence
•Anxiety 'converted' to physical symptom Correct Answers
Conversion Disorder
-Burning, shooting, tingling, radiating, lancinating, numbness.
-Like a fire or an electrical jolt Correct Answers patient
description of Neuropathic Pain
-Distribution of one peripheral nerve
-Sciatic nerve or Ulnar nerve entrapment
-Bell's Palsy (paralysis one side of face)
-Lancinating Pain (Trigeminal Neuralgia) Correct Answers
neuropathy-->peripheral --> mononeuropathy
-Inordinately worried about having a serious illness
-Inaccurate perception of condition of body/mind despite
absence of actual medical diagnosis
-Persists even after a physician has evaluated and reassured
-Serious illnesses or deaths of family members or friends to
trigger hypochondria Correct Answers Hypochondriasis
,-Mental disorder --> Some aspect of one's health or appearance
is severely flawed & requires extreme measures
-Real or imagined flaw
Pervasive and intrusive obsession Correct Answers Body
Dysmorphic Disorder (BDD)
-Pain associated with potentially life-threatening conditions
- difficult to classify by duration or pathology
-"Pain associated with HIV infection"
-"Pain associated with cancer"
-painful diagnostic procedures/treatment Correct Answers
Cancer Pain ('Malignant Pain')
-pain that extends beyond healing period
-amount of pain disproportionate to injury
-disrupts normal living
- no purpose unlike acute pain and harder to treat
- nociceptive, neuropathic, or both
-not typically vital sign changes more behavior changes
(distress, depression, anorexia, insomnia) Correct Answers
chronic pain
-peripheral (mononeuropathy, polyneuropathy)
-central
-sympathetically maintained pain Correct Answers types of
neuropathic pain
-Psychological stress --> Chronic pain in one or more areas,
sometimes for years
•Trauma/Abuse
•Child's role in family is 'the sick one'
, •More common in social settings where psychological distress is
not as accepted Correct Answers pain disorder
-recurring, real, multiple, current somatic complaints
-long and complicated primary care
- treat with cognitive behavioral therapy
- can be due to: Heightened biologic sensitivity?
-Body's attempt to cope with mental/emotional pain?
-Cognitive theories: catastrophic thinking Correct Answers
Somatization Disorder
-Squeezing, pressure, cramping, distention, dull, deep, and
stretching
-After abdominal or thoracic surgery Correct Answers patient
description of
Nociceptive Pain (Visceral)
-subtype of chronic pain
-persistent Pain Not Associated With Cancer
--Mild to Excruciating
-Patients report levels poorly corresponding to identifiable levels
of tissue pathology
-Often responds poorly to standard treatments
-can Affect Any Body System: Correct Answers chronic non-
cancer pain
-Symmetrical on both sides of body
-Diabetic neuropathy
-Guillain-Barre (immune system attacks nerves) Correct
Answers neuropathy-->peripheral --> polyneuropathy
