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The most frequently used portion of the McGill Pain Questionnaire is the


A) front and back drawings of the human body
B) pain-rating index
C) verbal rating scales
D) present pain intensity score
E) part 3 indicating how patients' pain has changed with time

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Peripherally acting analgesics decrease pain by


A) binding to opiate receptor sites
B) reducing inflammation at the site of tissue damage
C) distracting the patient with hallucinations
D) imitating the effects of the body's endogenous system
E) stimulating the central control trigger

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All of the following are key issues surrounding gender differences and pain except


A) the manner in which women perceive pain
B) biological factors
C) psychosocial factors such as role expectations
D) the response of the health care system
E) susceptibility to effects of litigation and compensation

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Guided imagery is classified as


A) a form of relaxation and distraction
B) a form of distraction and meditation
C) a form of relaxation and biofeedback
D) a form of distraction and biofeedback
E) a form of meditation and relaxation

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Pain rating scales are primarily used to measure


A) pain behaviour
B) pain tolerance
C) pain threshold
D) emotional adjustment to pain
E) pain intensity

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______________________ pain occurs in response to tissue damage whereas _____________ pain is reinforced by the person's environment.


A) acute;chronic
B) chronic;acute
C) respondent;operant
D) operant;respondent
E) chronic intractable;chronic recurrent

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During an electroencephalogram the peaks on the graph ______________ when people take analgesics and correlate ______________ with subjective reports of pain.


A) decrease,negatively
B) increase;positively
C) decrease;positively
D) increase;negatively
E) are unchanged;positively

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According to Melzack and Wall,relaxation or positive experiences can ____________ the pain experience by causing the gate to _______________


A) eliminate;open
B) eliminate;close
C) mute;open
D) mute;close
E) increase;close

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Reynolds provided electrical stimulation to the periaqueductal gray area of the midbrain in rats and produced:


A) analgesia (SPA)
B) relaxation response
C) phantom limb pain
D) the central control trigger
E) acute pain

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Amal was raking leaves in her backyard.She has arthritis and her shoulder became painful soon after she started.She continued working for twenty minutes.The time from when she noticed the pain until she stopped is known as


A) pain threshold
B) pain tolerance
C) operant pain
D) respondent pain
E) chronic recurrent pain

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In the David Reynolds study of rats' brain stems,the area of the midbrain that is involved in pain reception was the


A) thalamus
B) hypothalamus
C) periaqueductal gray area
D) somatosensory area
E) neuromatrix

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All of the following are considered benefits to experiencing pain except


A) it serves as a warning to prevent serious injury
B) it serves as a basis of learning to avoid injurious objects
C) it sets limits on activities essential for the body's natural recuperation
D) it serves as a marker for amputated limbs
E) it has survival value

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According to the McGill Pain Questionnaire,sensory qualities of pain include all of the following except


A) temporal properties of pain
B) spatial properties
C) pressure
D) fear
E) thermal properties

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All of the following are true about phantom limbs except


A) a phantom limb usually hangs straight down at the side when the person sits or stands
B) a phantom limb can experience warmth,cold and pressure as well as pain
C) there is considerable evidence of phantoms in people born without limbs
D) phantom limbs have been found in limb amputations that occur in early childhood
E) the phantom limb has an unreal quality to it

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An added benefit to the use of hypnosis in treating pain is that patients


A) no longer show the classic physiological reactions to pain
B) report experiencing less anxiety
C) enjoy the hallucinations which are common side effects
D) forget their pain entirely
E) it can be self administered

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One advantage of transcutaneous electrical nerve stimulation is that it can be


A) inexpensive
B) self-administered
C) applied for days at a time
D) invasive when necessary
E) used to increase evoked potentials in the brain

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Sensory aspects of pain are influenced by the _____________ which send messages to the thalamus while motivational elements of pain are determined by ___________.


A) nociceptors;afferent nerve fibres
B) C-fibres;A-delta fibres
C) A-delta fibres;C-fibres
D) Sensory neurons;motivational neurons
E) Sensory neurons;motor neurons

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All of the following are methods that can be used in pain management to increase the relaxation response except:


A) progressive muscle relaxation
B) distraction
C) guided imagery
D) mindfulness meditation
E) hypnosis

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Distraction techniques are particularly useful for reducing


A) chronic pain
B) respondent pain
C) operant pain
D) acute pain
E) low back pain

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When a persons' sensory system detects a stimulus,such as pressure on one's heel,the signal to the brain produces an increase in


A) muscle tension
B) high blood pressure
C) evoked potentials
D) increased heart rate
E) nausea

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