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CDS836 Neuropathic Pain Conditions Exam Questions And Correct Answers
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CDS836 Neuropathic Pain ConditionsExam Questions And Correct Answers
Pain caused by a lesion or disease of the somatosensory nervous system - Answer
Neuropathic pain
A disturbance of function or pathological chaange in a nerve or nerves - Answer
Neuropathy
Pain in the distribution of a nerve or nerves - Answer Neuralgia
Evidence of neuropathic pain (5) - Answer Burning-type pains that are spontaneous,
triggered, or ongoing and unremitting
Pain occurs disproportionate to the stimulus
Pain is accompainied by other neurologic signs
There is normally no evidence of any tissue (somatic) changes or disease
Pain may be initated, accentuated, or maintained by sympathetic activity
Evidecne of episodic neuropathic pain (5) - Answer Quick, sharp, electrical-like pain
(paroxysmal)
Very intense debilitating pain
Duration is momentary (seconds)
Very little to no pain between episodes
Pain follows the distribution of the affected nerve
Types of paroxysmal neuralgia pain? (6) - Answer Trigeminal neuralgia
Glossopharyngeal neuralgia
Geniculate neuralgia
Superior laryngeal neuralgia
Nervus intermedius neuralgia
Occipital neuralgia
Paroxysmsal neuralgia clinical characeristics? (5) - Answer Sudden, shocking, bright,
flashing pain
Momentary duration (seconds)
, Little to no pain between episodes
Often triggered by innocuous peripheral stimulation
Pain follows the distribution of the involved nerve
Paroxysmal neuralgia incidence ______________________, Female to male
ratio__________________. Peak age _________________. _______________ most common,
_______________ least common and periods of remission - Answer 26.8-28.9/100,000
1.7:1
60-70 years
V2
V1
Triggered by innocuous peripheral stimulation (pain is far greater than appropriate for
the stimulus) - Answer Paroxysmal neuralgia
Precipitating factors for paroxysmal neuralgia/ (5) - Answer Shaving
Placing make-up
eating
Drinking
Denture movement
Classical neuralgias have an? - Answer identifiable cause
Symptomatic neuralgias are? - Answer idiopathic
Classical neuralgias come frome? (4) - Answer Posterior fossa tumor
Cerebellopontine angle tumor
Multiple sclerosis
Microvascular compression of the nerve root
Paroxysmal neuralgia pathophysiology? - Answer Demyelination of the nerve root
assocaited with compression of the nerve root
Steps in pathophys of paroxysmal neuralgia? (5) - Answer Compression and/or
demyelination of the nerve root
Ectopic firing of a focal group of ganglionic neurons
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