Quiz 1.14.16 Flashcards
Pain form a chemical source is likely to be:
a) severe
b) constant
c) superficial
d) deep
B. Constant
Which of the following is least likely to help establish the relationship of two areas of pain?
- a)descriptors used for each
- b)duration of each
- c)onset of each
- d)effect of agg factor on both
A)descriptors used for each
If a patient who reports pain while sleeping, the PT should:
- a)refer for further evaluation
- b)ask what is that wakes him her
- c)change his or her position
- d)find out what kind of bed is being used
b)ask what is that wakes him her
Assessing “24 hour behavior” means
- a)tying pain rating to the past 24 hours
- b)asking about pain at various times of day
- c)the Pt is doing a pt centered interview
- d)the Pt will be able to set specific goals
b)asking about pain at various times of day
Paresthesia
- a)indicated that numbness is likely to be present also
- b)indicates that nerve is being irritated
- c)indicates neurologic structures are involved
- d)is an example of a hard neuro sign
C
c)indicates neurologic structures are involved
The neuromatrix theory of pain
- a)pain can not occur in the absence of noxious stimulation
- b)all pain actually arises from the CNS and not the PNS
- c)Cognition, sensation and motivation, all impact pain perception
- d)only applies to the development of chronic pain
C
Cognition, sensation and motivation, all impact pain perception
SINSS is used primarily to:
- a)verify that subjective exam is complete
- b)decide whether or not a limited objective exam is needed
- c)determine whether a referral is needed
- d)organize the components of an efficient subjective exam
B
decide whether or not a limited objective exam is needed
A patient seems to have a great deal of anxiety about her first episode of LBP. It is out of proportion to the severity and the duration of her symptoms, but she does not have any history or other indicators of an overall anxiety disorder. This is an example of a
- a)red flag which suggests a referral is needed for further diagnostics
- b)orange flag which suggests that further psychiatric screening is needed
- c)yellow flag which negatively impacts her prognosis for recovery
- d)blue flag which suggests that specific workplace interventions will be needed
C
yellow flag which negatively impacts her prognosis for recovery
Which of the ollowing is not an exampl of a black flag?
- a) a pt is relient on transportation which is so unreliable that many treatments have been missed
- b) a pt is self-employed and unble to modify work duties or schedule to accommodate his injury
- c)a patient has changed providers multiple times because they do not provide what he believes is the appropriate specific treatments that he’s read about on-line
- d)a pt’s clinical depression has been exacerbated by the onset of LBPand she’s having trouble adhering to home exercise recommendations
D
a pt’s clinical depression has been exacerbated by the onset of LBPand she’s having trouble adhering to home exercise recommendations
A pt reports constant bilateral posterior pelvic pain that is worst at night, especially when prone and which makes it difficult to fall asleep. He also has stiffness in the morning that doesn’t resolve until he goes to work and is a couple hours into his shift.
- a) the PT should finish a limited exam but consider reffering for further evaluation
- b)this suggests inflammation whch is a musculoskeletal problem so no referral is indicated
- c)the PT should take his temperature because this would determine whether a refarral is indicated or not
- d)the PT should proceed with a full exam because a refarral isn’t likely to be needed
A
the PT should finish a limited exam but consider reffering for further evaluation
Which of the following statements is most true?
- a)insidious onset of LBP almost always neceassitates referral for further diagnostic evaluation
- b)insidious onset of LBP is more likely then sudden onset to suggest a referral is needed
- c)follow-up questions are needed is a pt reports insidious onset of pain but not if a sudden onset is reported
B
insidious onset of LBP is more likely then sudden onset to suggest a referral is needed
A pt reports constant but variable right sided, deep, achey LBP that has recently gotten more severe and has expanded to include the posterior right hip. The pain increases with certain movements and eases with others. Which of the following is most true?
- a) his back pain is likely to be local somatic pain, but his hip pain is radicular referred
- b)the “spreading” of his LBP is probably a function of worsening of his somatic pain
- c)the low back and hip pain can both be from a somatic source, but because his is constant, he pain is probably the result of an infection
- d)this pain has a mechanical pattern of agg and ease, therefore the pain could not be originating from a tumor pressing on a spine structure
B
the “spreading” of his LBP is probably a function of worsening of his somatic pain
A pt says she has local lumbar pain and also calf pain. There is no thigh pain. These two areas ________related to the same problem
a) are
b) are not
c) may be
C. may be
What is the best reason for planning the objective exam?
a) avoid unnecessary pain
b) make a diagnosis
c) plan your treatment
d) save examination time
A
avoid unnecessary pain
