Question 1

Neurotransmitters are released from nociceptor endings in the brain and trigger signals to the dorsal horn neurons during what process of the pain pathway?

Accepted Answer

A)   Transduction
B)   Transmission
C)   Perception
D)   Modulation C

Question 2

What medical condition is often associated with chronic pain?

Accepted Answer

A)   Anxiety
B)   Depression
C)   Delirium
D)   Dementia B

Question 3

What type of pain increases above the level of pain addressed by the prescribed analgesic and includes end-of-dose failure and incident pain?

Accepted Answer

A)   Somatic pain
B)   Visceral pain
C)   Breakthrough pain
D)   Neuropathic pain C

Question 4

Which of the following whole diet therapies has been suggested to possibly decrease body inflammation and, therefore, decrease pain?

Accepted Answer

A)   The Atkins Diet
B)   The Pritikin Diet
C)   The Ornish Diet
D)   The Mediterranean Diet

Question 5

What type of pain medications have a ceiling effect in which increasing the dose beyond a certain point does not increase the analgesic effect, but only increases risk?

Accepted Answer

A)   Acetaminophen
B)   Nonsteroidal anti-inflammatory drugs (NSAIDs) 
C)   Weak opioids
D)   Adjuvant drugs

Question 6

What traditional Chinese medical treatment became newsworthy during the 2016 Summer Olympics when several swimmers displayed bluish circular hematomas over their upper shoulder area?

Accepted Answer

A)   Cupping
B)   Acupuncture
C)   Moxibustion
D)   Qigong

Question 7

Aging causes decreased pain perception, sensitivity, and tolerance.

Accepted Answer

A) True 
 B)False

Question 8

What whole medical system functions on the belief that if the body is supported and the barriers to cure are removed, the body will heal itself?

Accepted Answer

A)   Homeopathy
B)   Naturopathic medicine
C)   Ayurveda
D)   Traditional Chinese medicine

Question 9

The pathway of nociceptive pain is characterized by the movement of the action potentials from the site of noxious stimulus to the dorsal horn at the base of the brain by way of dorsal root ganglion?

Accepted Answer

A)   Transduction
B)   Transmission
C)   Perception
D)   Modulation

Question 10

Safety of Chinese herbal medicines is a concern because they are not tested for safety as they are considered supplements.

Accepted Answer

A) True 
 B)False

Question 11

What pain measurement instrument assesses major symptoms of both neuropathic and non-neuropathic pain?

Accepted Answer

A)   Behavioral Pain Scale (BPS) 
B)   Critical-Care Pain Observation Tool (CPOT) 
C)   McGill Pain Questionnaire (MPQ) 
D)   Checklist for Nonverbal Pain Indicator (CNPI)

Question 12

Some elderly persons will not accurately report pain because they do not want to be perceived as complainers.

Accepted Answer

A) True 
 B)False

Question 13

What strong opioid has a long half-life and is useful for relieving neuropathic pain?

Accepted Answer

A)   Fentanyl
B)   Oxycodone
C)   Methadone
D)   Hydromorphone

Question 14

What whole medical system emphasizes "curing illnesses that have not yet happened rather than curing illness"?

Accepted Answer

A)   Homeopathy
B)   Naturopathic medicine
C)   Ayurveda
D)   Traditional Chinese medicine

Question 15

Which of the following adjuvant medications should be used with caution in older men with benign prostatic hyperplasia or increased intraocular pressure?

Accepted Answer

A)   Venlafaxine
B)   Carbamazepine
C)   Gabapentin
D)   Pregabalin

Question 16

Although there are no active ingredients in a homeopathic solution, it helps the body to begin to heal itself by using its own defense mechanisms.

Accepted Answer

A) True 
 B)False

Question 17

It is not uncommon to encounter older adults who are reluctant to use pain medication for fear of addiction.

Accepted Answer

A) True 
 B)False

Question 18

What type of pain is felt as painful in response to a nonpainful stimulus and accompanied by normal appearing tissue, such as an older adult feeling discomfort with bed sheets resting on the legs or feet?

Accepted Answer

A)   Allodynia
B)   Incident pain
C)   Somatic pain
D)   Breakthrough pain

Question 19

Although it can be used as a method of self-defense, which of the following is practiced by many to combine gentle exercise, meditation, and deep breathing?

Accepted Answer

A)   Tai chi
B)   Qigong
C)   Yoga
D)   Ayurveda

Question 20

Because pain is a subjective experience, self-report is the most reliable and accurate information.

Accepted Answer

A) True 
 B)False

Exam 25: Pain Management and Alternative Health Modalities

Neurotransmitters are released from nociceptor endings in the brain and trigger signals to the dorsal horn neurons during what process of the pain pathway?

What medical condition is often associated with chronic pain?

What type of pain increases above the level of pain addressed by the prescribed analgesic and includes end-of-dose failure and incident pain?

Which of the following whole diet therapies has been suggested to possibly decrease body inflammation and, therefore, decrease pain?

What type of pain medications have a ceiling effect in which increasing the dose beyond a certain point does not increase the analgesic effect, but only increases risk?

What traditional Chinese medical treatment became newsworthy during the 2016 Summer Olympics when several swimmers displayed bluish circular hematomas over their upper shoulder area?

Aging causes decreased pain perception, sensitivity, and tolerance.

What whole medical system functions on the belief that if the body is supported and the barriers to cure are removed, the body will heal itself?

The pathway of nociceptive pain is characterized by the movement of the action potentials from the site of noxious stimulus to the dorsal horn at the base of the brain by way of dorsal root ganglion?

Safety of Chinese herbal medicines is a concern because they are not tested for safety as they are considered supplements.

What pain measurement instrument assesses major symptoms of both neuropathic and non-neuropathic pain?

Some elderly persons will not accurately report pain because they do not want to be perceived as complainers.

What strong opioid has a long half-life and is useful for relieving neuropathic pain?

What whole medical system emphasizes "curing illnesses that have not yet happened rather than curing illness"?

Which of the following adjuvant medications should be used with caution in older men with benign prostatic hyperplasia or increased intraocular pressure?

Although there are no active ingredients in a homeopathic solution, it helps the body to begin to heal itself by using its own defense mechanisms.

It is not uncommon to encounter older adults who are reluctant to use pain medication for fear of addiction.

What type of pain is felt as painful in response to a nonpainful stimulus and accompanied by normal appearing tissue, such as an older adult feeling discomfort with bed sheets resting on the legs or feet?

Although it can be used as a method of self-defense, which of the following is practiced by many to combine gentle exercise, meditation, and deep breathing?

Because pain is a subjective experience, self-report is the most reliable and accurate information.