S3L3: Terminology used in the discussion of pain

Question 1

Chronic biopsychosocial disease characterized by impaired control over drug use, compulsive use, continued use despite harm, & craving

Answer 1

Addiction

Question 2

Medications whose primary indication is a condition other than pain but have demonstrated benefit in pain managament

Answer 2

Adjuvant medication

Question 3

True or false: Adjuvant medication includes antidepressants, anticonvulsants, corticosteroids, neuroleptics etc.

Answer 3

True

Question 4

Pain caused by a stimulus that does not
normally provoke pain

Answer 4

Allodynia

Question 5

Modified T/F

A. Analgesia can occur due to medical disorder, result of past trauma or injury, or present idopathically by itself
B. These medical conditions include fibromyalgia, migraine, and postherpetic neuralgia

Answer 5

FT

A refers to Allodynia

Question 6

Absence of pain in stimulation that would normally be painful

Answer 6

Analgesia

Question 7

Modified T/F

A. Causalgia (CRPS) is a syndrome of sustained burning pain, allodynia, & hyperpathia after a traumatic nerve lesion
B. It is often combined c vasomotor & sudomotor dysfunction (such as diabetic autonomic neuropathy) & later trophic changes

Answer 7

TT

Question 8

Pain initiated or caused by a primary lesion or dysfunction in the central nervous system

Answer 8

Central pain

Question 9

T/F

Peripheral pain can be caused by stroke, MS, Tumors, epilepsy etc.

Answer 9

F

Central pain

Question 10

Exists when individuals have developed extensive pain behaviors such as preoccupation c pain, passive approach to health care, significant life disruption, feelings of isolation, demanding, angry, or doctor-shopping (continuous consultation with different doctors)

Answer 10

Chronic pain syndrome

Question 11

An unpleasant abnormal sensation, whether spontaneous or evoked

Answer 11

Dysesthesia

Question 12

T/F

Dysesthesia feels like shock, aching or tightening

Answer 12

F

shock, burning or tightening

Question 13

A maladaptive pattern of drug use marked by tolerance & a drug
class-specific withdrawal syndrome that can be produced by abrupt cessation, rapid dose reduction, ↓ blood levels of drug, or administration of an antagonist

Answer 13

Dependence

Question 14

↑ response to a stimulus that is normally
painful

Answer 14

Hyperalgesia

Question 15

↑ sensitivity to stimulation

Answer 15

Hyperesthesia

Question 16

T/F

Hyperesthesia is an ↑ sensitivity to stimulation excluding the special senses

Answer 16

True

Question 17

Pain associated with cancer

Answer 17

Malignant pain

Question 18

Modified T/F

A. Nocebo effect is synonymous with placebo effect
B. Inert treatment or event that increases sx because the patient believes it will increase sx.

Answer 18

FT

Nocebo effect is the opposite of placebo effect

Question 19

T/F

The expectation of pain from nocebo effect can result in hyperalgesia and allodynia

Answer 19

True

The expectation of pain can result in both
increased pain from painful stimuli &
allodynia

Question 20

Receptor preferentially sensitive to a
noxious stimulus

Answer 20

Nociception

Question 21

Refers to the affective component of pain

Answer 21

Suffering

Question 22

T/F: Suffering includes both emotional (e.g., anxiety &
anger) & cognitive (e.g., thoughts of
helplessness) components, and may be due to a combination of unpleasantness & catastrophizing

Answer 22

T