Quiz 1B Flashcards
When interpreting change in score of patient-reported outcome measure, what represents a change that would likely be deemed important by most clinicians?
A change beyond a minimal clinically important difference specific to the outcome being used
Of the 154 health conditions studied, which was the most expensive category as discussed in the paper “US Health Care Spending by Payer and Health Condition, 1996-2016 by Dieleman, et al?
Low Back and Neck Pain
What is the argument against traditional primary care management of patients with spine related disorders?
Traditional primary care practitioners are generally not well trained in the diagnosis and management of spine related disorders.
Which of the following could be considered the key role of the primary spine practitioner?
A broad skill set that enables diagnosis and management of the majority of patients with spine-related disorders without the need for referral.
The 5 key psychological factors discussed in Dr. Schneider’s biopsychosocial video presentation are:
Fear/Anxiety, Catastrophizing, Poor Coping, Poor Self Efficacy, Depression
Severe mental illness requiring immediate medical attention is typically associated with which of the following “flag” classifications?
Orange Flags
“orange dunce cone”
When considering work related spine pain, employee perceptions of workplace conditions that affect recovery from LBP are typically considered:
Blue Flags
blue collar
The leading cause of disability in the US
Back and neck pain
Your patient presents with subacute, axial low back pain and describes intermittent, 4/10 pain associated with prolonged postural stress and is worse at the end of the day. Which if the following is the most likely pain phenotype characterizing this patient’s pain experience?
Nociceptive dominant
Neuroscience pain education is most important for patients that are experiencing _______ pain?
all:
nociceptive inflammatory or mechanical
neuropathic
nociplastic
The STarT Back tool is considered a _______ index and helps to establish the relative risk of the patient for _____?
Prognostic; Chronicity
Which of the following are clinical signs or symptoms in a patient presenting with low back and extremity pain would be most consistent with nociplastic pain?
Widespread pain that is easily provoked
The goals of pain neuroscience education (PNE) typically include which of the following
Helping the patient understand that pain is produced, constructed and modulated by the brain
The Treatment Based Classification (TBC) system describes initial triage into categories:
Medical management, rehabilitation management, self-care management
A patient with high disability, volatile symptoms and high pain would best fit which approach per the Treatment Based Classification (TBC):
Symptom modulation
Directional preference exercises and manipulation/mobilization are typically performed when the patient is which stage of rehabilitation per the Treatment Based Classification (TBC):
Symptom modulation
Diagnostic question #1 in the CRISP approach is:
Do the presenting symptoms reflect a visceral disorder or a potentially life threatening illness?
Diagnostic question #2 in the CRISP approach is:
Where is the pain coming from?
Diagnostic question #3 in the CRISP approach is:
What is happening with this person as a whole that would cause the pain experience to develop and persist?
Barriers to implementation of the PSP model in North America include all of the following except:
this is one i really don’t know.
need clarification.
guess:
A lack of postgraduate educational opportunities for PTs and DCs to develop the knowledge skills and abilities necessary to function as a PSP
Considering the article Integrating Motivational Interviewing in Pain Neuroscience Education for People With Chronic Pain: A Practical Guide for Clinicians, by Nijs et al, which of the following is a statement/question you would make regarding motivational interviewing that best fits a patient in the Precontemplation Stage - when the patient not considering change says “I’m not willing to simply accept the pain and learn how to live with it; you need to fix the problem that is causing the pain”?
“ I understand why you feel that way. You were told that your “degenerative” or “wear and tear” changes in the lower back [or other body area] seen on the x-rays [MRI, CT] are causing your back pain. Here is a table with the percentage of people—depending on age—who have “wear and tear” changes in their spine despite not having any back or leg pain. Please pick your own age category and read what proportion of people with your age without back or leg pain have “degenerative” or “wear and tear” changes just like you do in their lower spine.” . . . [patient responds] . . .“What does that tell you?” [patient responds] “Perhaps there is more to your pain than just the “wear and tear” changes seen on the x-rays [MRI, CT]? Are you interested to learn about a more comprehensive explanation for your chronic back pain?
Considering the article Integrating Motivational Interviewing in Pain Neuroscience Education for People With Chronic Pain: A Practical Guide for Clinicians, by Nijs et al, the goal of Pain Neuroscience Education is to:
Optimize patients’ pain beliefs/perceptions to facilitate the acquisition of adaptive pain coping strategies
What touched the outside of Lorimer Mosely’s left leg in his “Why Things Hurt” TedxTalk video:
Eastern brown snake bite
Which is the best statement summarizing Lorimer Mosely’s “Why Things Hurt” TedxTalk video:
Pain is a construct of the brain
