Chronic Pain: Advances in Psychotherapy

Questions from chapter 1

1) Pain is a subjective experience. a) True b) False

2) Pain resulting from a stimulus that would normally not produce pain such as a breeze is a) analgesia b) hyperalgesia c) neuralgia d) allodynia

3) Pain initiated or caused by a lesion or dysfunction in the spinal cord or brain is a) hypoalgesia b) central pain c) neuropathy d) pain threshold

4) "Nociceptive" pain is in which pain dimension? a) temporal b) mechanism of transmission c) disease state causing the pain d) anatomical site

5) Chronic pain generally serves no adaptive purpose. a) True b) False

6) Which is a chronic pain syndrome accompanied by widespread tenderness, poor sleep, fatigue, cognitive dysfunction, and emotional distress? a) rheumatoid arthritis b) trigeminial neuralgia c) fibromyalgia d) sciatica

7) Of cases of low back pain in the general population, it has been reported that as many as _____ have no objective findings. a) 65% b) 75% c) 85% d) 95%

ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com 8) The somatoform diagnoses most often encountered in the chronic pain population are a) conversion disorder and hypochondriasis b) hypochondriasis and somatization c) somatization and pain disorders d) pain disorders and conversion disorder

9) Which is not listed as a factor that contributes to sleep disturbance among patients with chronic pain? a) depression b) medications c) arousal d) sleep apnea

10)Which is a synthetic opioid? a) hydromorphone b) hydrocodone c) methadone d) oxycodone

11) If a patient experiences dependence and tolerance, they have an addiction. a) True b) False

12) Which is a 7-item self-report measure designed to measure the degree to which pain interferes with daily functioning? a) Sickness Impact Profile b) Multidimensional Pain Inventory c) SF-36 d) Pain Disability Index

13) The pain theory by Ronald Melzack and Patrick Wall proposed that the transmission of pain-related nerve impulses is modulated by a _____ mechanism. a) waterfall b) herding c) attentional d) gating

14) Which type of treatment focuses on modifying environmental contingencies to reduce disability and improve function? a) CBT b) biopsychosocial c) client centered d) operant

ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com 15) "Avoiding pain by lying down" is which type of reinforcement contingency? a) positive reinforcement b) negative reinforcement c) financial reinforcement d) intermittent reinforcement

16) Which is an organized facility with personnel to evaluate and treat physical and psychosocial aspects of chronic pain? a) Major Comprehensive Pain Center b) Comprehensive Pain Center c) Syndrome-Oriented Pain Center d) Modality-Oriented Pain Center

17) "If I can't keep up with my friends like I used to when we shop, then there's no point in going with them" is an example of which cognitive distortion? a) selective abstraction b) catastrophizing c) "should" statements d) overgeneralizing

18)18) Social Security's _____ program helps people retrain and return to work. a) Passport to Productivity b) Traction for Life c) Ticket to Work d) Classroom for You

19) Which is a 56-item assessment measure with 3 sections including spouse and others' responses to patient's pain? a) West Haven-Yale Multidimensional Pain Inventory b) Patient Diaries c) Pain Anxiety Symptom Scale-20 d) Sickness Impact Profile

20) Consider referring a patient when a) you diagnose an anxiety disorder and psychotropic medication is appropriate b) the patient is currently abusing alcohol c) the patient has no regular exercise program and has had no physical therapy d) all the above

21) Which is recommended as the first line analgesic for infant and children? a) Advil b) Celebrex c) Lodine d) Tylenol ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com 22) What is the time require for a person to eliminate 50% of Methadone they have taken? a) 1 hour b) 7 hours c) 15 hours d) 30 hours

23) The risk of developing new addiction to opioid analgesics prescribed for pain is relatively low. a) True b) False

24) Which is a tricyclic antidepressant widely used in management of neuropathic pain? a) Effexor b) Gabatril c) Elavil d) Wellbutrin

25) Which is an treatment is an important exception to the proscription against neural destruction to control noncancer pain? a) spinal cord stimulators b) radiofrequency ablation c) spinal analgesic infusion pump d) medial branch nerve blocks

26) Goals for patients should be all EXCEPT a) realistic b) necessary c) desirable d) patient-centered

27) Michael Nicholas et al. (2000) suggest that for pacing, pain should be allowed to increase no more than _____ points while engaging in any task. a) 2 b) 4 c) 6 d) 8

28) Which involves observing a particular muscle and allowing it to relax and release tension? a) meditation b) passive relaxation c) progressive muscle relaxation d) autogenic training

ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com 29) Which in NOT one of the characteristics of hypnosis which make it useful as a technique for managing pain? a) physical relaxation b) openness to suggestion c) narrowing of the attentional field d) ease of learning

30) Which is used with migraine headaches, reflex sympathetic dystrophy and Reynaud's disease? a) electromyographic biofeedback b) thermal biofeedback c) electomagneticpulse (EMP) d) neurofeedback

31) Which is the most effective way to treat chronic pain? a) analgesic medications b) biofeedback c) multidisciplinary care d) ablative surgery

32) A review by Green et al. (2003) found ethnic and racial disparities in the treatment of pain across types of pain and in all settings such as emergency departments. a) True b) False

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