RAT 1 - 1.19.16

Question 1

Which of the following is not an appropriate reason for using a classification approach for LBP?

Pt outcomes are improved
Treatment approaches are more standardized
Clinic efficiency and reimbursement is improved
Communication between PT’s improved

Answer 1

Clinic efficiency and reimbursement is improved

Question 2

2. Which of the following is most likely to “rule in” lumbar spinal stenosis?

Worsens with walking but improves with sitting
Worsens with walking and sitting
worsens with sitting but improves with walking
improves with walking and sitting

Answer 2

Worsens with walking but improves with sitting

Question 3

3. In a pt who uses long term steroids, \_\_\_\_\_\_\_\_\_\_ should be assumed until proven otherwise
serious infection
Kidney problems
fracture
claudication

Answer 3

fracture

Question 4

4. A smoker with LBP is more likely to have which of the following?

a) Ankylosing Spondylitis
b) Vascular Claudication
c) Cauda Equina
d) Infection

Answer 4

Vascular Claudication

Question 5

5. Morning stiffness for more than 30 min, waking in the second half of the night, and better with exercise than rest are indicative of?

Ankylosing Spondylitis
Spinal Infection
Osteoarthritis
Rheumatoid Arthritis

Answer 5

Ankylosing Spondylitis

Question 6

6. A pt who has been seen for a week for direction specific exercise now reports new tingling in buttocks and vulva. There are no new sensory or motor complaints. The best response to this is:

Do a thorough neuro exam during today’s visit and possibly make an immediate referral

Monitor this symptom closely and make an immediate referral if it doesn’t resolve in the next few visits

Call the referring physician and inform him/her of the new symptoms and ask if you can send send the patient immediately over for examination

Stop today’s visit immediately and send the patient immediately to the nearest emergency room for neurological evaluation.

Answer 6

Do a thorough neuro exam during today’s visit and possibly make an immediate referral

Question 7

7. Which of the following is considered the gold standard for measuring a patient reported outcomes?

RMDI
FABQ
PSFS
None of the above

Answer 7

None of the above

Question 8

8. What two psychological conditions should a PT screen for early in an episode of care for LBP

fear avoidance and anxiety disorders
anxiety disorders and depression
depression and fear avoidance
bipolar disorder and depression

Answer 8

depression and fear avoidance

Question 9

9. Bilateral swelling can be another clue that the pt may have

Spinal infection
Aortic aneurism
neurogenic claudication
kidney problems

Answer 9

kidney problems

Question 10

10. Which of the following is not one of the 10 classifications for LBP?

Altered neurodynamics
Acute pain with functional deficits
Pelvic girdle pain
lumbar spinal stenosis

Answer 10

Acute pain with functional deficits