Week 8 Management of Pain Quiz

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Questions and Answers

Which model of pain focuses on pathophysiology and other biological approaches to disease?

  • Biomedical model (correct)
  • Cognitive model
  • Behavioral model
  • Biopsychosocial model

What is the Kellgren & Lawrence Scale used for?

  • Identifying treatments
  • Describing pain and disability
  • Grading osteoarthritis severity (correct)
  • Assessing pain mechanisms

Which model of pain describes pain and disability as a multidimensional, dynamic integration among biological, psychological and social factors that reciprocally influence one another?

  • Biomedical model
  • Biopsychosocial model (correct)
  • Behavioral model
  • Cognitive model

What are the two patients in the text experiencing?

<p>Moderate joint space reduction &amp; osteophytes (B)</p>
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What is the goal of assessing a patient with pain according to the biopsychosocial model?

<p>To understand the reasons for development or persistence of their pain (D)</p>
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What is one potential investigation that may be used to investigate neuropathic pain?

<p>Nerve conduction studies (B)</p>
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What is the Pain Catastrophisation Scale (PCS) used for?

<p>To assess the patient's level of catastrophizing (B)</p>
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What is the grip-pain threshold test used for?

<p>To provide information about loss and gain of sensory function (C)</p>
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What does a Tampa scale of kinesiophobia score of >37 suggest?

<p>High fear of movement or (re) injury (A)</p>
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What is the purpose of a patient interview in pain assessment?

<p>To understand the patient's pain experience (A)</p>
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What is the purpose of using different classes of analgesics in pain management?

<p>To decrease the side effect profile (D)</p>
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What are endogenous opioids?

<p>Opioid drugs not produced by the body (D)</p>
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What is the Number Needed to Treat (NNT)?

<p>The likelihood of a medication working (C)</p>
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What is the Number Needed to Harm (NNH)?

<p>The likelihood of a medication giving side effects (D)</p>
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What is the purpose of TENS therapy?

<p>To selectively activate non-nociceptive fibres (B)</p>
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What is exercise induced analgesia?

<p>The phenomenon where exercise leads to increased pain thresholds (B)</p>
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What is pacing?

<p>A structured approach to increasing exercise tolerance (A)</p>
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What is the disadvantage of a pain-contingent approach to activity?

<p>It often leads to a boom-bust cycle (A)</p>
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What is graded motor imagery?

<p>A technique to explore movement through safe, pain-free ways (D)</p>
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What is the purpose of goal setting in pacing?

<p>To provide a structured approach to increasing exercise tolerance (B)</p>
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What is the role of a physiotherapist in managing pain?

<p>Providing advice on exercise and education on understanding pain (B)</p>
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What is the most important aspect in the treatment of chronic pain?

<p>Acknowledging that pain is real (D)</p>
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What is the mechanism-based approach to managing pain?

<p>Addressing the cause of pain (C)</p>
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What is the role of a clinical psychologist in managing pain?

<p>Changing maladaptive thoughts about pain (A)</p>
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What is the risk of unnecessary diagnostic imaging?

<p>It may do as much harm as good (D)</p>
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Which of the following is true about the relationship between chronic pain and sleep?

<p>Poor sleep can cause increased sensitivity to pain. (C)</p>
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What is the aim of Pain Neurophysiology Education (PNE)?

<p>To facilitate rehabilitation by reconceptualizing an individual's understanding of their pain as less threatening. (D)</p>
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How can education help individuals with chronic pain improve their sleep?

<p>By promoting good sleep hygiene and helping them understand that sleep comes in waves of lighter and deeper sleep. (C)</p>
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What is the main problem that people with chronic pain face when it comes to sleep?

<p>They wake up frequently during the night. (C)</p>
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Which book contains information about pain?

<p>Davidson’s Principles and Practice of Medicine 23rd Edition (A)</p>
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