Pain MCQ Flashcards
(98 cards)
Homer has developed post-hepatic neuralgia after the shingles. He cant tolerate his t-shirt. The term that can describe this is:
A) Hyperalgesia
B) Peripheral sensitization
C) Allodynia
D) Cutaneous pain
C) Allodynia
The pain ada[tation argues that the activity of a muscle that is painful or produces a painful movement is uniformly inhibited whereas that of the antagonist are
- facilitated
- inhibited
- ischaemic
- down regulated
facilitated
Week 8 lecture slide 6

In central nociceptive transmission, thalamic projections to the somatosensory cortex are predominantly involved in the:
a) Sensory–discriminative component of pain
b) Emotional arousal from pain
c) Escape from pain
d) Sensory-cognitive component of pain
a) Sensory–discriminative component of pain
Peripheral sensitization may occur as a result of an increase in the release of excitatory neurotransmitters, such as:
a) Serotonin
b) GABA
c) Substance P and glutamate
d) Noradrenaline
c) Substance P and glutamate

• Sluka, pg 38, “Spinal cord” last paragraph

C) Increased pain from a stimulus that normally provokes pain
D) Increased sensitivity to pain
Week 2 lecture, slide 28.
Have moderated ALL attempts to ensure that either C or D is marked as correct.
Which of the following statements about nociceptive pain is false?
A) Occurs when nociceptors respond to a noxious stimulus
B) caused by lesion of the somatosensory nervous system
C) Usually time limited
D) Resolves when damaged tissue heals
B) caused by lesion of the somatosensory nervous system
The headache produced by cervical artery dissection is due to nociceptor activation in the:
Tunica intima
Tunica media
Tunica adventitia
All of the above
Tunica Adventitia
Which of the following theories states that physical emotional and cognitive factors all contribute to the experience of pain?
A) specificity theory
B) Nociceptive theory
C) self-control theory
D) Gate control theory
E) Neuromatrix theory
E) Neuromatrix theory
the phrase “pain memories” is associated with which pain theory?
- pain adaptation theory
- Classical conditioning
- pain spasm theory
- Hodges protection hypothesis
Classical conditioning
The sacroiliac joint is a compound joint that is:
Part synovial and part fibrous
Part synovial and part symphysis
Part symphysis and part fibrous
Part symphysis and part synchrondrosis
Part synovial and part fibrous

• Sluka, pg 56 “POTENTIAL MECHANISMS OF CENTRAL SENSITIZATION”
Which of the following statements about acute pain is false?
A) Pain usually resolves upon healing
B) Is accompanied by increased nervous system activity
C) Usually has no protective function
D) There is usually obvious tissue damage
C) Usually has no protective function
Regarding nociceptive transmission, the predominant role of the thalamus is to:
a) Execute movement commands to withdraw from the noxious stimuli
b) Execute the withdrawal reflex from the noxious stimuli
c) Integrate information regarding noxious stimuli
d) Release dopamine to increase the ability of descending inhibition
c) Integrate information regarding noxious stimuli
Describe four clinical features that may be present in a case of C7 radiculopathy (4 marks)
Nerve root inflammation
- Sensory deficit
- motor deficit
- numbness tingling.
- Dermatomal distribution of sensory loss helps to determine segment of root compression
- Radicular pain is felt over multiple dermatomes
When you assess the sensation in a patient’s posterior thigh, the first order neuron being stimulated is the:
Sciatic nerve
Inferior gluteal nerve
Posterior femoral cutaneous nerve
Sural nerve
Posterior femoral cutaneous nerve
Low back pain is generally understood to become chronic after a period of how long
A) 6 weeks
B) 12 weeks
C) 14 weeks
D) 1 month
B) 12 weeks
According to the intact nociceptor hypothesis
- Intact nociceptors that survive injury and innervate the region by the injured nerve or root are desensitized by the local degenerating nerve fibres and wholly denervated target tissue
- Intact nociceptors that survive injury and innervate the region by the injured nerve or root are desensitized by the local degenerating nerve fibres and partly denervated target tissue
- Intact nociceptors that survive injury and innervate the region by the injured nerve or root are sensitized by the local degenerating nerve fibres and partly denervated target tissue
- Intact nociceptors that survive injury and innervate the region by the injured nerve or root are sensitized by the local degenerating nerve fibres and wholly denervated target tissue
Intact nociceptors that survive injury and innervate the region by the injured nerve or root are sensitized by the local degenerating nerve fibres and partly denervated target tissue

• Sluka, pg 23 “Neuropeptides”
Define the term cervical spondylotic myelopathy?
nerve root compression caused by degeneration
- Osteocytes build up in the canal
- Disc calcification resulting in loss of disc height
- ligamentous ossification PLL
- ligamentous buckling LF
One of the differentials for your patient is a strain of the scalenes muscle group. Which of the following is the superior attachment of anterior scalenes?
TPs of C1 – C4
SPs of C2 – C7
TPs of C3 – C6
TPs of C5 – C7
TPs of C3 – C6
regarding motor control and pain theories, what did early scientist propose?
- That a simplistic relationship between pain and motor control exists. meaning that would lead to either inhibition of muscle activity and spasm
- That a simplistic relationship between pain and motor control exists. meaning that would lead to either inhibition of muscle activity and ischaemia
- That a simplistic relationship between pain and motor control exists. meaning that would lead to either excitation of muscle activity and ischaemia
- That a simplistic relationship between pain and motor control exists. meaning that would lead to either excitation of muscle activity and spasm
That a simplistic relationship between pain and motor control exists. meaning that would lead to either inhibition of muscle activity and spasm
A cervical facet joint is an example of:
- A saddle synovial joint
- A plane synovial joint
- A pivot synovial joint
- A condyloid synovial joint
A plane synovial joint
Consider the following clinical features:
- Duration of 4 – 72 hours
- Bears at least two of the following characteristics:
- Unilateral location
- Pulsating quality
- Moderate or severe intensity
- Aggravation by routine physical activity
- AND associated with at least one of nausea, vomiting, photophobia and phobia
The headache most consistent with this clinical description is:
- Cervicogenic headache
- Cluster headache
- Migraine
- Tension type headache
Migraine


























