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PAIN: The Most Pervasive 4 Letter Word in Healthcare

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1.  Which of the following was stated in the course?
  1. Persistent pain affects more people in the United States than cancer, heart disease and diabetes combined
  2. Persistent pain affects the brain. It is no longer in the body.
  3. Persistent pain is the same as acute pain, it has just been around longer.
  4. Persons with persistent pain will always catastrophize their situation and symptoms
2.  Which of the following is a classification criteria for chronic pain?
  1. Initial onset due to accident. Not trauma, surgery, or disease
  2. Symptoms are precisely located and consistent
  3. Symptoms are consistently provoked by the same direction and amplitude of movement
  4. Symptoms are generalized, inconsistent, may be easily provoked, and include a disproportionate amount of pain for the level of stimulus
3.  How was nociplasticity described in this course?
  1. Central nervous system changes that can spontaneously make connections that are aberrant/unhelpful
  2. A treatment using a nerve stimulator to reduce pain
  3. The way of documenting that a patient is faking their pain
  4. The death of a peripheral nerve over time due to chronic pain
4.  Which of the following is true about persistent pain? (Patients with persistent pain PwPP)
  1. Patients with persistent pain are always depressed and have a history of anxiety
  2. PwPP may have redisposing factors of depression, stress, anxiety or panic (as much as 30% of cases)
  3. PwPP is based on the recirculation of dopamine and reuptake inhibition of serotonin
  4. We are more likely to experience persistent pain as we age, due to brain atrophy and increasing levels of pain intolerance
5.  Hebbian learning can also be known as which of the following?
  1. Descending cortical inhibition over hyperactive interneuron pools
  2. “Neurons that fire together, wire together.”
  3. Repeated exposure leads to desensitization.
  4. None of the above

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