Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
26 Cards in this Set
- Front
- Back
|
What technique is used with such frequency in pain management medicine that they have been referred to as the "aspirin of behavioral medicine." What do they all include?
Give an example? |
Relaxation techniques--ALL include deep breathing
progressive muscle relaxation (PMR) |
|
|
The patient must " identify the control signal" and thereby 'turn off the power" (i.e., give up the tension and let the muscles relax). The key is that one cannot try to relax … An effort to relax is a failure to relax. As patients become more adept at turning off the power and relaxing, they usually develop a heightened awareness of internal sensory signals.
|
PMR |
|
|
Until both patient and therapist have a consensual understanding of how the treatment will work and what it aims to accomplish, treatment efforts are likely to work at cross-purposes. This is what type of biopsychosocial therapy? |
Cognitive therapy
|
|
|
A form of psychophysiologic treatment that is related to the concept that autonomic responses can be brought under voluntary control through feedback?
It also has to do with affecting a relaxation response or quieting an autonomic arousal in an attempt to reinstate homeostasis. What is it called |
Biofeedback
|
|
|
What is probably the oldest treatment known to mankind?
|
Hypnosis |
|
|
What are four common hypnotic suggestions are used in the control of clinical pain?
|
Direct suggestion are made for pain relief Filtering of pain from the the body Dissociation of the pain from the body Displacement of the pain from one part of the body to another. |
|
|
T/F Studies have shown that group approaches may have as much impact on patient functioning as individual approaches. |
True |
|
|
Making a good referral for psychological management involves considering what three domains of evaluative questions?
|
Inappropriate illness behavior Emotional disorder Premorbid risk factors |
|
|
What is the best independent predictor of persistent pain?
|
the number of pain sites a person has
|
|
|
True/Falso. Pain and psychological illness have reciprocal psychological and behavioral effects?
|
True |
|
|
Depressed patients who are unresponsive to both SSRIs and TCAs may improve with
|
a combination of the SSRIs and TCA.
|
|
|
Name two SNRI that concurrently inhibit the reuptake of both serotonin and norepinephrine and might be expected to effectively treat depression in a wider population of patients? |
venlafaxine and duloxetine
|
|
|
True or False. Serotonergic neurons have been shown to exert an inhibitory effect on noradrenergic neurons.
|
True. Among other structures, norepinephrine and serotonin pathways are present in the prefrontal cortex and the limbic system, areas known to be involved in mood disorders, including depression. |
|
|
What must be addressed for a comorbid pain and depression patient to maximize chances of a successful outcome? |
Pain, sleep disturbances, depression, and other physical, behavioral, or psychosocial factors |
|
|
What percentage of depression patients actually achieve remission? What is the name of a rating scale for depression scale? |
33% Hamilton Rating Scale for Depression (HAM-D) |
|
|
What drug class is used to treat depression as first line? What drug class is used if this drug class fails to produce success controlling the depression? |
SSRIs dual -action antidepressants with both noradrenergic and serotonergic activity like venlafaxine and duloxetine |
|
|
Why are TCAs not great anti-depressant drugs? What is a safer drug class to use? What are the effective for? True/False. SSRIs are great pain relievers |
Side effects of urinary retention, arrhythmias, and hypertension. SSRIs. Pain relief of neuropathic pain False |
|
|
Name the AAOP Guidelines for Assessment, Diagnosis, and Management that is to be included in the comprehensive history? |
1. Chief complaint(s);
2. History of present illness; 3. Past medical and dental history; 4. Review of systems; 5. Psychosocial history |
|
|
What details should be in the History of Present Illness?
|
Location of Pain:
Mode of Onset of Pain: Quality of Pain: Intensity of Pain: Frequency and Duration of Pain: Associated Symptoms: Modifying Factors: Previous Treatment Results: |
|
|
What questions should I ask to determine inherited disease conditions, to assess support systems available, and to assess sources of anxiety that would negatively affect healing? |
" Do you have a stressful situation at work? " Do you have a stressful situation at home? " Do you have a decreased desire for social activities?" Do you have little interest in doing things?" Do you feel lonely even with people?" Do you feel hopeless about the future?" Do you have a decreased appetite? " Do you feel low in energy or slowed down?" Do you feel easily annoyed or irritated?" Do you see or have you ever seen a psychiatrist, psychologist or social worker?
|
|
|
A jump sign or locl twitch response is indicative of what type of disorder? |
myofascial TrP |
|
|
An example of protruding the mandible against the resistance of the examiner's hand can test the inferior belly of the lateral pterygoid. What is this type of testing called and why is it useful?
|
Resistance testing
Hard to reach muscles like the lat. pterygoid and medial pterygoid can be examined. |
|
|
What is normal cervical range of motion for extension, flexion, rotations, and head side bending? |
70, 80-90, 70-80, 45 all in degrees |
|
|
A cerebellopontine angle lesion will usually cause unilateral abnormalities in which cranial nerves?
|
5, 7, 8 |
|
|
The parasympathetic system originates in which cranial nerves? |
3, 7, 9, 11 |
|
|
If a source for the pain complaint cannot be identified, disorders outside the orofacial region should be considered. What are some systemic illnesses?
|
These systemic illnesses include a variety of connective tissue disorders, metabolic disorders, infection diseases, hematological disorders, nutritional deficiencies, and malignancies
|
