IAOM-US Clinical Reasoning for Spinal Pain Management


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History and Examination for Pain Generators

History and Examination for Pain Generators
History and Examination for Pain Generators 2
Evaluation of Disfunction - Pain
Evaluation of Dysfunction - History and Exam
Acute Pain - 1
Acute Pain - 2
Acute Pain - 3
Recurrent Pain - 1
Recurrent Pain - 2
Chronic Pain
Explanation of Findings and POC
Direct Treatments
Interventional Pain Management - 1
Interventional Pain Management - 2
In the proposed systematic approach from this course, which of the following is not an example of a system of dysfunction?
What is an example of pain generator?
The dysfunctions:
Which of the following are not objectives for this course?
Our main goal for this course is:
In selective tissue tension model, muscle pain will be most painful with:
In the selective tissue tension model, which of the following would not be a way to diagnose a joint affliction:
The first question during the history should be to ask:
Explaining the diagnosis and plan of care:
According to the book “How to Win Friends and Influence People” by Dale Carnegie you should:
According to the study by Lin, what do patients with low back pain want?
What did you learn that Mad Lib can be used for:
What is a good objective way to evaluate the patients self-perceived disability from low back pain?
Longer duration of symptoms often leads to all of the following EXCEPT:
What is the goal of the basic clinical exam?
Which of the following statements about acute, recurrent and chronic examinations are accurate for this course?
When patients are in the chronic pain state:
When testing patient sensation, which of the below is a suggested tip?
When testing myotomal strength, which tip below is suggested?
During the clinical exam, it's important that you encourage the patient to:
Which of the below is suggested regarding myotomal weakness?
During the axial separation test/treatment, your goal is to:
The Slump Test is better suited for:
Cervical facet joint synovitis can be determined by:
Recurrent Pain is:
Chronic Pain is:
An example of the Descartes Model of Pain is:
The Mature Organism Model by Gifford (1998) suggests:
All of the following are limitations of the biomedical model EXCEPT:
Kids undergoing orthopedic surgery whose parents catastrophize in the first 72 hours:
Brain processing:
Of the 4 amplifiers that Shawn Mackey, MD, PhD lists, which one are we least likely to influence as physical therapists?
Brain Pain Processing Maps:
An example of a positive way to work with patients without activating the negative pain maps is to:
Which of the below is true of the visual illusion that Amy showed:
Output is:
The hormone Amy discussed that is commonly altered in chronic pain patients that affects memory, sleep and weight gain is:
If a patient is more input dominant:
Patients with chronic pain can often have poor memory, sleep, balance and digestion. This suggests the patient is:
Which objective questionnaire is for sleep apnea?
According to the study by Bialosky discussed in this section, outcomes related to interventions for musculoskeletal pain are dependent on:
In the study by Flood et al. discussed in this section, expectation of an intervention alters musculoskeletal pain in all the following ways EXCEPT:
What is the best protection from potential negative effects of nocebo?
Clinical Instability:
All of the following are listed as common subjective findings in the history by the study by Cook et. al, EXCEPT:
A good sign for prognosis for a patient with chronic pain is one that:
What stage of pain usually requires the longest patient history?
What stage of pain usually requires the longest patient examination?
Beighton index gives information about:
Identifying the source of pain does all the following EXCEPT:
Using selective tissue tension testing model, you can help identify discogenic pain when:
When evaluating part of the body where pain can be from the spine or extremities such as the cervicothoracic/shoulder region or hip, it’s best to use:
The systematic approach proposed in this course suggests:
Which of the following is an example of when not to use differential diagnosis or patient profiling?
Cervical Facet joint pain patterns:
Cervicogenic Headaches:
C1-2 Arthropathy is best provoked with:
Lumbar facet arthropathy:
Sarcoiliac Joint Artropathy:
Midline structures:
The outer third of the lumbar discs are innervated by the:
Which lumbar disc pathology has intermittent leg pain in a partial dermatomal pattern?
The main difference in the profile of a lumbar internal disc disruption vs. outer disc disruption is:
Slipman et al. stimulated nerve roots under fluoroscopy to determine pain maps of the nerve roots can called them:
The initial goal for treating recurrent pain is to:
When a patient has persistent diffuse band-form neck pain and gets non-dermatomal diffuse arm pain after the neck pain worsens—but no neurological changes likely has:
Neurogenic thoracic outlet syndrome:
One of the key elements in the history for cervical epidural fibrosis is:
If a person older than 50, with parasagittal low back pain with standing and walking, what is the likely diagnosis?
Vertical midline thoracic pain is likely due to:
Which features have a better prognosis of stenosis:
Thoracic facet arthrosis:
In order to efficiently distinguish synovitis vs. arthrosis, it's best to:
When evaluating and treating a patient with recurrent pain, all of the following are true EXCEPT:
Combination Pain:
Patients with recurrent cervical spine pain often also have:
The key feature to determining combination pain during the exam is to:
The pain generator in non-specific low back pain is often:
A common pain generator with recurrent low back pain is to also get a secondary posterolateral hip pain with sidelying and pain with passive flexion+adduction+internal or external rotation. This pain generator is likely:
Chronic pain differs from recurrent pain by:
The proposed initial goal of treating chronic pain is to:
The main pain generator in chronic pain is:
Allodynia is:
If a steroid dose pack doesn't decrease pain at all, you can consider the pain likely:
When explaining your diagnosis, it is suggested to:
After explaining the diagnosis in layman’s terms, what tip is offered to help the patient feel less anxious about their diagnosis?
What was the key piece of neuroscience of pain that is suggested to use in the explanation of findings?
Which form is critical to your explanation of findings?
What is the overall goal of your explanation of findings?
The goal of acute pain is to:
Direct treatments are:
All of the following are valid tips EXCEPT:
The direct treatment for discogenic pain is:
After a successful cervical axial separation where you resolve all the patient's symptoms;
Finish this quote from Richard Derby, MD: "If you cannot reliably identify the pain source....":
The type of imaging typically used for interventional pain management procedures is called:
What is the least invasive interventional pain management procedure discussed in this course?
All of the following are types of lumbar epidural steroid injection EXCEPT:
An Epidural is most indicated for:
What technique should you perform immediately after epidural lysis of adhesions?
All of the following interventional pain management procedures are appropriate for facet join pain, EXCEPT:
Uncovertebral joint injections:
The procedure recommended in this course to treat facet joint synovitis is:
What should the patient do following a medial branch block in order to determine its efficacy?
What muscle group is innervated by the medial branch nerve of the dorsal ramus (that can be affected with radiofrequency ablation)?
The procedure to diagnose discogenic pain is:
The end-of-the-algorithm procedure for epidural fibrosis or complex regional pain syndrome (CRPS):
The final procedure for treatment for recurrent facet joint arthrosis is:
When a patient has multiple pain generators, which pain generator should get injections first?
Are interventional pain management procedures just a band-aid?
Patients who don’t want to change into a gown, seem guarded, uncomfortable, and distrusting may have a previous history of:
Which of the below is a self-care tool for trigger points, ribs and thoracic spine mobilization:
While all patients treatments will vary, a general tip for when to start neural flossing for patients with radiculitis is when:
The program/app by NOI that works on laterality of the brain as part of graded motor imagery is called:
The topical agent that is a component in chili peppers that can help deplete substance P is called:
This course recommends evaluating joints as:
Disc dehydration should most often be performed:
A great tool to teach patients self-cervical facet mobilizations is the:
What is the key element of teaching self-care skills to maintain the goals achieved with manual therapy?
A positive test for pelvic ring instability is:
All of the following are suggestions for dealing with depression EXCEPT:
Education and a home program for pain flare ups will give patients:
One way to teach your patients to deal with a panic attack is to:
How can a physical therapist determine if a patient needs to be referred to a psychologist?
During the section on sleep program, it suggests which of the following to improve sleep:
Which of the below is the tool that helps with cervical sensorimotor control:
The plan of care form:
The medication group that works best for neurogenic pain is:
Three phases of aging of the lumbar segment are described in this course. What is the phase called from age 30-50?
Which muscle commonly atrophies at the level of discogenic pain as seen with MRI?
Stage 1 of the lumbar program focuses on:
Why is it recommended that the patient not dorsiflex the foot during hamstring stretches?
The piriformis muscle is put on stretch with:
Why are rotational motions last in the 10-stage program?
Patients going through the initial stages of rehabilitation with pelvic ring instability should limit:
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