30 Questions
Which model of pain focuses on pathophysiology and other biological approaches to disease?
Biomedical model
What is the Kellgren & Lawrence Scale used for?
Grading osteoarthritis severity
Which model of pain describes pain and disability as a multidimensional, dynamic integration among biological, psychological and social factors that reciprocally influence one another?
Biopsychosocial model
What are the two patients in the text experiencing?
Moderate joint space reduction & osteophytes
What is the goal of assessing a patient with pain according to the biopsychosocial model?
To understand the reasons for development or persistence of their pain
What is one potential investigation that may be used to investigate neuropathic pain?
Nerve conduction studies
What is the Pain Catastrophisation Scale (PCS) used for?
To assess the patient's level of catastrophizing
What is the grip-pain threshold test used for?
To provide information about loss and gain of sensory function
What does a Tampa scale of kinesiophobia score of >37 suggest?
High fear of movement or (re) injury
What is the purpose of a patient interview in pain assessment?
To understand the patient's pain experience
What is the purpose of using different classes of analgesics in pain management?
To decrease the side effect profile
What are endogenous opioids?
Opioid drugs not produced by the body
What is the Number Needed to Treat (NNT)?
The likelihood of a medication working
What is the Number Needed to Harm (NNH)?
The likelihood of a medication giving side effects
What is the purpose of TENS therapy?
To selectively activate non-nociceptive fibres
What is exercise induced analgesia?
The phenomenon where exercise leads to increased pain thresholds
What is pacing?
A structured approach to increasing exercise tolerance
What is the disadvantage of a pain-contingent approach to activity?
It often leads to a boom-bust cycle
What is graded motor imagery?
A technique to explore movement through safe, pain-free ways
What is the purpose of goal setting in pacing?
To provide a structured approach to increasing exercise tolerance
What is the role of a physiotherapist in managing pain?
Providing advice on exercise and education on understanding pain
What is the most important aspect in the treatment of chronic pain?
Acknowledging that pain is real
What is the mechanism-based approach to managing pain?
Addressing the cause of pain
What is the role of a clinical psychologist in managing pain?
Changing maladaptive thoughts about pain
What is the risk of unnecessary diagnostic imaging?
It may do as much harm as good
Which of the following is true about the relationship between chronic pain and sleep?
Poor sleep can cause increased sensitivity to pain.
What is the aim of Pain Neurophysiology Education (PNE)?
To facilitate rehabilitation by reconceptualizing an individual's understanding of their pain as less threatening.
How can education help individuals with chronic pain improve their sleep?
By promoting good sleep hygiene and helping them understand that sleep comes in waves of lighter and deeper sleep.
What is the main problem that people with chronic pain face when it comes to sleep?
They wake up frequently during the night.
Which book contains information about pain?
Davidson’s Principles and Practice of Medicine 23rd Edition
Test your knowledge on the pharmacological management of pain with this quiz. Learn about the different classes of analgesics and the WHO analgesic ladder, including the use of NSAIDs, steroids, tricyclic antidepressants, and anti-convulsants. Improve your understanding of how to use lower doses of each class of analgesic to minimize side effects.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
