Question 1

Allodynia is believed to occur due to

Accepted Answer

A) excessive activation of the substantia gelatinosa. 
B) excessive inhibition of the substantia gelatinosa. 
C) excessive stimulation of the spinothalamic tract. 
D) excessive inhibition of the spinothalamic tract. 
A) excessive activation of the substantia gelatinosa. 
B) excessive inhibition of the substantia gelatinosa. 
C) excessive stimulation of the spinothalamic tract. 
D) excessive inhibition of the spinothalamic tract. B

Question 2

Which of the following techniques would be most helpful in working with a patient who insists passive therapy modalities are the only effective means for reducing her low back pain?

Accepted Answer

A) "I" statements 
B) Reference to standards 
C) Active listening 
D) Reflecting emotion 
A) "I" statements 
B) Reference to standards 
C) Active listening 
D) Reflecting emotion B

Question 3

Considering the gate control theory of pain,the use of transcutaneous electrical nerve stimulation would perform which of the following actions?

Accepted Answer

A) Counter-irritant stimulus to close the gate 
B) Nonirritant stimulus to close the gate 
C) Counter-irritant stimulus to open the gate 
D) Nonirritant stimulus to open the gate 
A) Counter-irritant stimulus to close the gate 
B) Nonirritant stimulus to close the gate 
C) Counter-irritant stimulus to open the gate 
D) Nonirritant stimulus to open the gate A

Question 4

A patient with a long history of pain medication use due to dysesthesia from multiple sclerosis presents to physical therapy low back pain.What acuity of pain is the patient experiencing?

Accepted Answer

A) Acute 
B) Subacute 
C) Chronic 
D) Chronic pain syndrome 
A) Acute 
B) Subacute 
C) Chronic 
D) Chronic pain syndrome

Question 5

Which of the following physical findings is more indicative of a patient with acute pain than chronic pain?

Accepted Answer

A) Impaired body mechanics 
B) Poor aerobic capacity 
C) Muscle shortening 
D) Joint restriction 
A) Impaired body mechanics 
B) Poor aerobic capacity 
C) Muscle shortening 
D) Joint restriction

Question 6

A patient with chronic pain who exhibits considerable fear and anxiety during the patient interview will likely respond best to what type of treatment plan?

Accepted Answer

A) Standard-based 
B) Physician-based 
C) Therapist-based 
D) Patient-based 
A) Standard-based 
B) Physician-based 
C) Therapist-based 
D) Patient-based

Question 7

The physical terapist complains to her coworkers that she is "burnt-out" with her caseload of chronic pain patients.She states that she can't stop thinking about her patients at night because they aren't improving as quickly as they want to.The therapist is exhibiting

Accepted Answer

A) passive-dependent response. 
B) overanxious response. 
C) hostile response. 
D) help-rejecting response. 
A) passive-dependent response. 
B) overanxious response. 
C) hostile response. 
D) help-rejecting response.

Question 8

Pre-emptive analgesia is believed useful for what type of pain?

Accepted Answer

A) Wind-up 
B) Neuropathic 
C) Phantom-limb 
D) Subacute 
A) Wind-up 
B) Neuropathic 
C) Phantom-limb 
D) Subacute

Question 9

A patient with postherpetic neuralgia reports a deep burning sensation in his legs.This sensation is carried along which type of fiber?

Accepted Answer

A) A-delta 
B) A-beta 
C) C fibers 
D) Gamma 
A) A-delta 
B) A-beta 
C) C fibers 
D) Gamma

Question 10

Which of the following is a possible cause of poor performance on a home exercise program for patients with chronic pain but not patients with acute pain?

Accepted Answer

A) Motor learning difficulty 
B) Joint motion limitation 
C) Tissue dysfunction 
D) Muscle endurance 
A) Motor learning difficulty 
B) Joint motion limitation 
C) Tissue dysfunction 
D) Muscle endurance

Question 11

Which of the following physical findings is more indicative of a patient with chronic pain than acute pain?

Accepted Answer

A) Dermatomal sensory change 
B) Intact reflexes 
C) Impaired motor control 
D) Flexible postural asymmetry 
A) Dermatomal sensory change 
B) Intact reflexes 
C) Impaired motor control 
D) Flexible postural asymmetry

Question 12

Which of the following is more indicative of acute pain than chronic pain?

Accepted Answer

A) Affects the individual 
B) Involves the social network 
C) Onset ill-defined 
D) Associated with depression 
A) Affects the individual 
B) Involves the social network 
C) Onset ill-defined 
D) Associated with depression

Question 13

Which of the following is more indicative of chronic pain than acute pain?

Accepted Answer

A) Responds to medication 
B) Associated with anxiety 
C) Adapted autonomic response 
D) Onset is well defined 
A) Responds to medication 
B) Associated with anxiety 
C) Adapted autonomic response 
D) Onset is well defined

Question 14

A patient with chronic low back pain due to instability presents to physical therapy with complaint of unilateral knee pain without history of injury to the knee.Tested in sitting the patient has full active range of motion.Tested in standing the patient has limited range of motion and pain response.The most reasonable explanation is

Accepted Answer

A) malingering response in standing. 
B) primary knee pathology present only in standing. 
C) fatigue in standing increases pain. 
D) abnormal compensatory movement pattern in standing. 
A) malingering response in standing. 
B) primary knee pathology present only in standing. 
C) fatigue in standing increases pain. 
D) abnormal compensatory movement pattern in standing.

Question 15

A patient is observed walking to the therapy gym with a grimaced facial expression and antalgic gait pattern.Regardless of the physical examination findings,the physical therapist is observing

Accepted Answer

A) nociception. 
B) pain. 
C) suffering. 
D) pain behavior. 
A) nociception. 
B) pain. 
C) suffering. 
D) pain behavior.

Question 16

A patient with newly diagnosed fibromyalgia is noncompliant with her home exercise program and states that the treatment is not helping because the therapist just doesn't understand how she is feeling.This behavior is indicative of

Accepted Answer

A) passive-dependent response. 
B) overanxious response. 
C) hostile response. 
D) help rejecting response. 
A) passive-dependent response. 
B) overanxious response. 
C) hostile response. 
D) help rejecting response.

Question 17

The physical therapist should respond to a patient presenting with scapular pain who does not report a change in pain with palpation,scapular mobilization,or provocation testing by doing which of the following?

Accepted Answer

A) Treat for scapular dysfunction 
B) Treat for scapular dysfunction,then refer for more medical tests 
C) Not treat,refer for more medical tests. 
D) Not treat,do not refer 
A) Treat for scapular dysfunction 
B) Treat for scapular dysfunction,then refer for more medical tests 
C) Not treat,refer for more medical tests. 
D) Not treat,do not refer

Question 18

Presently the most effective treatment for slowing the progression of cronic regional pain syndrome postsurgically is

Accepted Answer

A) anesthetic block. 
B) rhizotomy. 
C) narcotic medication. 
D) active range of motion. 
A) anesthetic block. 
B) rhizotomy. 
C) narcotic medication. 
D) active range of motion.

Question 19

A patient states that an activity looks like it will be painful because it is similar to another activity he knows to be painful to his current injury.The patient's statement describes which aspect of the biopsychosocial model?

Accepted Answer

A) Nociception 
B) Pain 
C) Suffereing 
D) Pain behavior 
A) Nociception 
B) Pain 
C) Suffereing 
D) Pain behavior

Question 20

The most appropriate pain rating tool for use with children under the age of 7 years is

Accepted Answer

A) visual analogue scale. 
B) FACES scale. 
C) verbal rating scale. 
D) body diagram. 
A) visual analogue scale. 
B) FACES scale. 
C) verbal rating scale. 
D) body diagram.

Exam 28: Chronic Pain

Allodynia is believed to occur due to

Which of the following techniques would be most helpful in working with a patient who insists passive therapy modalities are the only effective means for reducing her low back pain?

Considering the gate control theory of pain,the use of transcutaneous electrical nerve stimulation would perform which of the following actions?

A patient with a long history of pain medication use due to dysesthesia from multiple sclerosis presents to physical therapy low back pain.What acuity of pain is the patient experiencing?

Which of the following physical findings is more indicative of a patient with acute pain than chronic pain?

A patient with chronic pain who exhibits considerable fear and anxiety during the patient interview will likely respond best to what type of treatment plan?

The physical terapist complains to her coworkers that she is "burnt-out" with her caseload of chronic pain patients.She states that she can't stop thinking about her patients at night because they aren't improving as quickly as they want to.The therapist is exhibiting

Pre-emptive analgesia is believed useful for what type of pain?

A patient with postherpetic neuralgia reports a deep burning sensation in his legs.This sensation is carried along which type of fiber?

Which of the following is a possible cause of poor performance on a home exercise program for patients with chronic pain but not patients with acute pain?

Which of the following physical findings is more indicative of a patient with chronic pain than acute pain?

Which of the following is more indicative of acute pain than chronic pain?

Which of the following is more indicative of chronic pain than acute pain?

A patient is observed walking to the therapy gym with a grimaced facial expression and antalgic gait pattern.Regardless of the physical examination findings,the physical therapist is observing

A patient with newly diagnosed fibromyalgia is noncompliant with her home exercise program and states that the treatment is not helping because the therapist just doesn't understand how she is feeling.This behavior is indicative of

The physical therapist should respond to a patient presenting with scapular pain who does not report a change in pain with palpation,scapular mobilization,or provocation testing by doing which of the following?

Presently the most effective treatment for slowing the progression of cronic regional pain syndrome postsurgically is

A patient states that an activity looks like it will be painful because it is similar to another activity he knows to be painful to his current injury.The patient's statement describes which aspect of the biopsychosocial model?

The most appropriate pain rating tool for use with children under the age of 7 years is

Clinical Decision Making

Influence of Psychosocial Factors on Rehabilitation

Influence of Values on Patient Care: Foundation for Decision Making

Vital Signs

Examination of Sensory Function

Musculoskeletal Examination

Examination of Coordination

Examination of Motor Function: Motor Control and Motor Learning

Electromyography and Nerve Conduction Velocity Tests

Examination of Gait

Examination of Functional Status and Activity Level

Examination of the Environment

Strategies to Improve Motor Function

Locomotor Training

Chronic Pulmonary Dysfunction

Heart Disease

Vascular,lymphatic,and Integumentary Disorders

Stroke

Multiple Sclerosis

Amyotrophic Lateral Sclerosis

Parkinsons Disease

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Vestibular Disorders

Amputation

Arthritis

Burns

Cognitive and Perceptual Dysfunction

Neurogenic Disorders of Speech and Language

Orthotics

Prosthetics

The Prescriptive Wheelchair

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