Pain MCQ Flashcards Preview

SBO6 > Pain MCQ > Flashcards

Flashcards in Pain MCQ Deck (98)
Loading flashcards...
31

Which of the following is NOT a feature of neuropathic pain presentations?

Numbness or altered sensation

Pain that is shooting or burning in nature

Pain in an area of numbness

Widespread, diffuse pain

Widespread, diffuse pain

32

• C) Stroke, MS or Guillain-Barre, Alcoholism & Vitamin deficiencies, Entrapment syndromes, Iatrogenic causes, Spinal Cord trauma

Refer to slide 10 week 2, lecture

33

Which of the following structures form part of the coracoacromial arch?

a) Acromion, acromioclavicular ligament, coracoid process

b) Acromion, coracoacromial ligament, clavicle

c) Acromion, coracoacromial ligament, coracoid process 

d) Acromion, subacromial bursa, coracoid process

b) Acromion, coracoacromial ligament, clavicle

34

Reading material for Central nociceptive pathways –

Pg 8-9 “Areas of the brain involved in the perception, integration and response tonociception”

35

Due in part to anatomic and biochemical changes in the nervous system

36

Nociceptive signals are transmitted predominantly by:

a)     A Alpha fibres

b)     A Beta fibres

c)     A Delta fibres

d)     C fibres

d)     C fibres

37

• Sluka, pg 22 “Neuropeptides”

38

During the neuropathic pain, sensitization can result in?

  1. spontaneous nociceptor activity as well as increased threshold and increased response to suprathreshold stimuli 
  2. spontaneous nociceptor activity as well as increased threshold and decreased response to suprathreshold stimuli 
  3. spontaneous nociceptor activity as well as decreased threshold and decreased response to suprathreshold stimuli 
  4. spontaneous nociceptor activity as well as decreased threshold and increased response to suprathreshold stimuli 

spontaneous nociceptor activity as well as decreased threshold and increased response to suprathreshold stimuli 

39

 Consider the arthrokinematics of the glenohumeral joint during shoulder abduction. The normal function of the supraspinatus and deltoid muscles is to produce:

a) Superior glide of the humerus

b) Superior roll of the humerus

c) Inferior glide of the humerus

d) Inferior roll of the humerus

b) Superior roll of the humerus

40

As part of your examination, you also decide to assess the patient’s reflexes. Which of the following structures must be functioning normally in order to produce a +2 Achilles reflex?

The tibial nerve and the interneurons in the sacral cord

The tibial nerve and the interneurons in the lumbar cord

The tibialis posterior muscle and the interneurons in the sacral cord 

The tibialis posterior muscle and the interneurons in the lumbar cord

The tibial nerve and the interneurons in the sacral cord

41

Which of the following is the best example of a nociceptive pain mechanism?

a)   Complex regional pain syndrome

b)   Acute non-specific low back pain

c)   Chronic non-specific low back pain

d)   Fibromylagia

b)   Acute non-specific low back pain

42

The C7/T1 facet joint is innervated by: 
 

The dorsal ramus of C7

The dorsal ramus of C8

The dorsal rami of C7 and C8

The dorsal rami of C8 and T1

The dorsal ramus of C8

43

During neuropathic pain, activation of microglial cells leads to an increased amount of pro-inflammatory cytokines which then may lead to:

  1. allodynia and spread of pain neighbouring unhealthy tissue outside the nerve injury
  2. hyperalgesia pain spread of pain to the neighbouring healthy tissue outside the nerve injury 
  3. hyperalgesia pain spread of pain to the neighbouring unhealthy tissue outside the nerve injury 
  4. allodynia and spread of pain neighbouring healthy tissue outside the nerve injury

allodynia and spread of pain neighbouring healthy tissue outside the nerve injury

44

Which of the following is the best example of a neuropathic pain mechanism?

a)   Complex regional pain syndrome

b)   Acute non-specific low back pain

c)   Chronic non-specific low back pain

d)   Fibromylagia

a)   Complex regional pain syndrome

45

Provide two examples of Primary osteoporosis and two examples of Secondary osteoporosis 

Secondary 

  • RA
  • Liver failure
  • Cushins
  • anorexia nerviosa

Primary 

  • Menopause
  • Age

46

B) “An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage“.

Week 2 Lecture, slide 25

47

Which of these situations describes pain that has been classified from a temporal perspective?

A) Nociceptive pain from temporal arteries

B) Neuropathic pain in trigeminal neuralgia

C) Acute pain from TMJ dysfunction

D) Somatic pain in the temporal region

C) Acute pain from TMJ dysfunction

48

Define Scheuermann’s disease and describe the underlying pathophysiology of this condition

Characterised by vertebral endplate irregularities of 3+ adjacent vertebral bodies

Usually in the Tx spine, but can also affect T/L junction

Aetiology:

Poorly understood - Hereditary component?

Abnormal vertebral endplate ossification 

Disproportionate vertebral body growth resulting in anterior wedging

49

Which of the following is the best example of a nociplastic pain mechanism?

a)   Carpal tunnel syndrome

b)   Acute non-specific low back pain

c)   Chronic non-specific low back pain

d)   Complex regional pain syndrome

c)   Chronic non-specific low back pain

50

Which of the following ligaments would most likely be injured by a direct valgus force to the knee?

Medial Collateral 

Lateral Collateral 

Anterior Cruciate

Posterior Cruciate

Medial Collateral 

51

Regarding the motor control response of pain: recent work proposes different mechanism with different time courses such as:

  1. reflex inhibition in the early phase: a possible role for the inflammatory system in the intermediate period and disuse in the chronic phase
  2. reflex facilitaiton in the early phase: a possible role for the inflammatory system in the intermediate period and disuse in the chronic phase
  3. A possible role for the inflammatory system in the early phase, reflex inhibition in the intermediate and disuse in the chronic phase
  4. A possible role for the inflammatory system in the early phase, reflex facilitation in the intermediate and disuse in the chronic phase

reflex inhibition in the early phase: a possible role for the inflammatory system in the intermediate period and disuse in the chronic phase

52

Which aspect of a lumbar disc is most commonly injured?

Anteromedial aspect

Anterolateral aspect

Posteromedial aspect

Posterolateral aspect

Posterolateral aspect

53

 

What pathology is shown in the image below?

 

  • Bicipital tendinopathy
  • Infraspinatus tendinopathy
  • Supraspinatus tendinopathy
  • Subscapularis tendinopathy

Supraspinatus tendinopathy

54

 

Which nerve root would be most likely compromised by a posterolateral herniation of the C6-C7 intervertebral disc? 

 

C6 root

C7 root

C8 root 

T1 root

C7 root

55

List four risk factors for Achilles tendinopathy

  • age 
  • overuse 
  • poor conditioning  
  • high arched feet 
  • pronation 
  • activity 
  • change of surface 
  • flexibility 

56

The sacroiliac joint is suspended between the iliac bones and is firmly attached to them by the:

Sacrotuberous and sacroiliac ligaments

Sacrotuberous and sacrospinous ligaments

Sacroiliac and interosseous ligaments

Sacrospinous and sacroiliac ligaments

Sacroiliac and interosseous ligaments

57

Reading material for Central nociceptive pathways –

Pg 8-9 “Areas of the brain involved in the perception, integration and response tonociception”

58

Select the most correct response about chronic pain

A) It does not serve a biological purpose

B) It causes impairment that is akin to the extent of the injury

C) It may be used as a synonym for post-surgical pain

D) It usually resolves upon healing of tissue

A) It does not serve a biological purpose

59

Sluka, pg 17 – directly under Table 2.1

60

Pain threshold is defined as:

a)     The highest intensity of stimulus that causes pain

b)     The lowest intensity of stimulus that causes pain

c)     The highest duration of stimulus that causes pain

d)     The lowest duration of stimulus that causes pain

b)     The lowest intensity of stimulus that causes pain