37 Questions
What is the function of pain as described in the text?
b and c
What does the 'P' in the P.A.I.N. assessment stand for?
Pattern
What does the 'N' in the P.A.I.N. assessment stand for?
Nature – Description of how the pain feels to the patient
What type of pain is characterized by burning, tingling, or 'pins and needles' sensation?
Neuropathic pain
Which type of pain is caused by activation of peripheral nerve fibers by harmful noxious stimuli?
Nociceptive pain
What initiates a complex series of physiologic and biochemical events responsible for transmission of signals to the CNS in acute inflammatory pain?
Tissue damage and noxious stimuli
What initiates an 'action potential' and passes it along the trigeminal nerve pathways to the nucleus caudalis within the brain stem?
Stimulation of specific nociceptors
Where do the action potentials traveling along primary nociceptor neurons transfer information through synapses?
To the spinothalamic and trigeminothalamic tracts
What part of the nervous system is responsible for the 'reaction' component of pain?
Central Nervous System (CNS)
Which type of sensation is primarily transmitted through the Spinothalamic Tract?
Pain and temperature
What type of sensory information is NOT transmitted through the Posterior Column pathway?
Pain and temperature
Which sensory pathway is responsible for transmitting information related to vibration and pressure?
Posterior Column
What is the primary function of the higher brain centers in response to noxious stimuli?
Process information about severity, duration, and location of stimuli
Which type of nerve fibers are responsible for initiating escape responses in the cerebral cortex?
Light myelinated A-delta fibers
What characterizes the pain carried along more diffuse pathways by smaller unmyelinated C fibers?
Secondary pain
What is the primary function of endogenous morphine-like substances mentioned in the text?
Inhibit pain pathways via morphine receptors in the brain and spinal cord
What influences the opening of the gate as per the Gate Control Theory mentioned in the text?
A-delta & C-fibers
Which theory provides support for pain relief therapies' actions on different parts of the nervous system?
Gate Control Theory
What aspect of pain perception is influenced by the individual's beliefs about pain?
Cognitive
Which type of actions are taken to express or control pain according to the ABCs of Pain Perception?
Behavioral
What is the primary evidence-based treatment for acute dental pain caused by inflammatory mediators?
Combination of NSAIDs and APAP
In what circumstances should dental practitioners clarify preferred acute pain management strategies with the patient’s OMT provider or primary pain specialist?
When the patient has a history of opioid addiction
Which category do patients fall into if they are opioid addicts in recovery receiving naltrexone therapy?
Opioid addicts in recovery receiving naltrexone therapy
What is the recommended approach for managing dental pain in patients receiving OMT?
Discussing preferred acute pain management strategies with the patient's OMT provider
What is the suggested course of action in the event of respiratory depression in patients receiving OMT and opioids for acute pain?
Providing respiratory support instead of naloxone reversal treatment
How should analgesics be scheduled for patients receiving OMT and requiring opioids for acute pain?
Scheduled around the clock to optimize pain control
What is the potential risk associated with inadequate treatment of acute pain in patients receiving OMT?
Increased risk of physiologic withdrawal
How should opioid doses be managed for patients receiving OMT and requiring opioids for acute pain?
Limited in quantity, with transition to NSAIDs or APAP as soon as possible
What is the evidence-based approach to managing most dental pain in patients receiving OMT?
Effectively managing with NSAIDs or NSAIDs and APAP
What is the recommended time frame for discontinuing naltrexone therapy before planned surgical or interventional procedures requiring opioids?
72 hours
What clinical dilemma do patients receiving depot naltrexone therapy pose when requiring high doses of opioids for pain management?
Risk of respiratory depression and oversedation
Why do patients receiving depot naltrexone therapy need continuous respiratory monitoring when given high doses of opioids for analgesia?
Due to increased doses of opioids required to achieve adequate analgesia
What is the primary function of naloxone?
To block or reverse the effects of opioids
What is the recommended dosage of Naloxone for intranasal administration using Narcan Nasal Spray?
4 mg
What is a potential consequence if a patient takes a longer acting opioid after receiving naloxone?
The patient may relapse
Which symptom is NOT associated with opioid overdose?
Elevated body temperature
What is a common additional symptom of opioid overdose?
Vomiting
Explore the functions of pain and the P.A.I.N. assessment process in this quiz. Learn about how pain protects the body, serves as a warning sign, and guides functional recovery, as well as how to assess pain in terms of pattern, area, intensity, and nature.
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