Multiple choice questions: ANSWERS

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1 Multiple choice questions: ANSWERS Chapter 1. The biopsychosocial model of chronic pain 1. Approximately how many US adults have a chronic pain condition? d. 100 million 2. Who proposed the gate-control theory of pain? c. Melzack 3. The stimulation of nerves that convey information to the brain about possible tissue damage refers to what? a. Nociception 4. The major consequence of homeostatic imbalance is: d. Stress 5. The biopsychosocial model of pain is viewed as: b. The most heuristic approach Chapter 2. Assessment of chronic pain 1. Of those listed, which type(s) of psychological symptoms are the most prevalent in the chronic pain patients? e. b and c 2. Which of the following statements is not supported by content from this chapter? d. There are psychological assessments of chronic pain that can definitively identify whether a patient is faking their pain symptoms. 3. As discussed in the chapter, what is one of the primary factors that contributed to the establishment of the biopsychosocial model? c. The recognition by clinicians that there was often no observable correlation between the extent of tissue damage and the severity of pain and dysfunction For reprint orders, please contact: 132

2 4. Which of the following formal measures are often used with the assessment of chronic pain patients? e. All of the above 5. Which of the following formal measures is not used for the assessment of opioid misuse risk with chronic pain patients? d. Screen for Opioid Dependence and Abuse (SODA) 6. An Interdisciplinary Evaluation with chronic pain patients involves what type(s) of treatment provider(s)? e. All of the above Chapter 3. Interdisciplinary treatment of chronic pain 1. Chronic pain conditions: 2. What is the range for prevalence of chronic pain? b. 2 40% 3. In what way do interdisciplinary and multidisciplinary programs differ? b. The way in which disciplines communicate and work together 4. Interdisciplinary treatment programs can do which of the following? c. a & b 5. Interdisciplinary chronic pain management teams do not typically include which of the following? d. Nutritionist 6. Which medications should be used cautiously in treating temporomandibular disorders (TMDs)? 7. What is the greatest advantage to including cognitive behavioral therapy (CBT) in the treatment of TMDs? c. Improvements in TMD symptoms are more likely to be maintained over the long term in patients receiving CBT; patients not receiving CBT are more likely to relapse 133

3 8. How much improvement in fibromyalgia syndrome (FMS) symptoms can be expected with medications alone? b. 30% reduction in symptoms for 50% of patients 9. Which of the following interventions is most effective in reducing pain intensity in FMS patients? a. CBT 10. In what areas has functional restoration been found to be an effective approach in treating chronic musculoskeletal pain? Chapter 4. Chronic pain in a specific population: low back 1. Which of the following have been associated with the development of chronic low back pain disorders? 2. Which type of approach is commonly used to assess and treat patients with chronic low back pain? b. Biopsychosocial approach 3. Which of the following is not a key predictor of the development of chronic back pain (based on the study by Gatchel et al. 2008)? b. Male gender 4. The most successful workplace interventions aimed at preventing low back injuries are: d. Developed for specific occupations 5. The three types of treatment for patients with musculoskeletal pain are: c. Primary, secondary and tertiary Chapter 5. Chronic pain in a specific population: temporomandibular joint and muscle disorders 1. Temporomandibular joint and muscle disorders (TMJD) are common among: c. Middle-aged females 2. The most common TMJD diagnosis is: b. Myofascial pain 134

4 3. Recommendations are that TMJD patients be treated first with: a. Conservative reversible therapies 4. TMJD involve both physical and psychosocial symptoms. a. True 5. What can be used to treat TMJD? 6. Which assessment is used to systematically diagnose TMJD? b. Research Diagnostic Criteria 7. What are/is considered a risk factor for developing TMJD? d. Joint laxity Chapter 6. Chronic pain in a specific population: fibromyalgia syndrome 1. Pathophysiology of fibromyalgia syndrome (FMS) is likely to involve: c. Dysregulation of central pain modulation 2. Diagnostic criteria for classifying FMS include (check all that apply): a. Presence and extent of widespread pain d. Symptom severity 3. Evidence suggests the best choice of pharmacotherapy for FMS to be (check all that apply): b. Antiepleptic c. Tricyclics d. Serotonin norepinephrine reuptake inhibitor 4. The use of hypnotics is strongly recommended c. No 5. When the patient experiences severe aggravation of pain following exercise b. Lower the intensity/duration but maintain the frequency Chapter 8. Measurement of outcomes & minimal clinically important difference 1. What is the correct term to describe an ability of an instrument to detect clinically meaningful change over time? b. Responsiveness 135

5 2. Choose the sentence that best describes a minimal clinically important difference (MCID): a. The smallest change or difference in outcome measure that is perceived as beneficial 3. Choose the MCID calculation method that is not related to distribution-based approach? c. Sensitivity and specificity 4. What is not a limitation of the anchor-based MCID calculation? c. Provides possible MCID scores on self-report questionnaires for making the distinction between functionally improved and nonimproved patients 5. What is a limitation of the distribution-based MCID calculation? d. Where a person falls on a scale alters the degree to which a change in score can be interpreted as meaningful 136

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