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Chapter 7 Principles of Pharmacotherapy in Pain Management

Pharmacotherapeutics for Advanced Practice 3rd Edition by Virginia Poole Arcangelo, Andrew M. Peterson

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Chapter 7 Principles of Pharmacotherapy in Pain Management

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Different areas of the brain are involved in specific aspects of pain. The reticular and limbic systems in the brain influence:
A. The sensory aspects of pain
B. The discriminative aspects of pain
C. The motivational aspects of pain
D. The cognitive aspects of pain

 

 

ANS:  C                    PTS:   1

 

  1. Patients need to be questioned about all pain sites because:
A. Patients tend to report the most severe or important in their perception
B. Pain tolerance generally decreases with repeated exposure
C. The reported pain site is usually the most important to treat
D. Pain may be referred from a different site to the one reported

 

 

ANS:  A                    PTS:   1

 

  1. The chemicals that promote the spread of pain locally include:
A. Serotonin
B. Norepinephrine
C. Enkephalin
D. Neurokinin A

 

 

ANS:  D                    PTS:   1

 

  1. Narcotics are exogenous opiates. They act by:
A. Inhibiting pain transmission in the spinal cord
B. Attaching to receptors in the afferent neuron to inhibit the release of substance P
C. Blocking neurotransmitters in the midbrain
D. Increasing beta-lipoprotein excretion from the pituitary

 

 

ANS:  B                    PTS:   1

 

  1. Age is a factor in different responses to pain. Which of the following age-related statements about pain is NOT true?
A. Preterm and newborn infants do not yet have functional pain pathways.
B. Painful experiences and prolonged exposure to analgesic drugs during pregnancy may permanently alter neuronal organization in the child.
C. Increases in pain threshold in older adults may be related to peripheral neuropathies and changes in skin thickness
D. Decreases in pain tolerance are evident in older adults

 

 

ANS:  A                    PTS:   1

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