42. The correct answer is C. Rationale: Symptoms related to cervical myelopathy are often nonspecific, making diagnosis difficult and often delayed. Carpal
tunnel and cervical radiculopathy are two diagnoses often assigned to patients who are eventually diagnosed with cervical myelopathy.
DIFFERENTIAL DIAGNOSIS FOR HEADACHES AND CERVICAL SPINE PAIN Final Examination Questions Select the best answer for each question and mark your answers on the Final Examination Answer Sheet found on page 124, or complete your test online at EliteLearning.com/Book 21. The spread of infection to the bone can mimic a musculoskeletal condition. This condition is known as:
27. Which of the following is NOT considered a primary headache? a. Migraine. b. Cervicogenic. c. Headache related to subarachnoid hemorrhage. d. Tension-type. 28. Onset of migraine headaches typically begins: a. In puberty. b. At age 20 to 40 years. c. At age 40–60 years. d. After age 70 years. 29. A new-onset headache with thunderclap features along with tenderness in the temporal region of the head in an adult over age 50 may indicate: a. Subarachnoid hemorrhage. b. Giant cell arteritis. c. Vertebrobasilar insufficiency. d. Migraine. 30. The belief that one can successfully complete the tasks necessary to achieve the desired outcome in a situation has been shown to be an adaptive coping skill when pain or injury is present. Another name for this belief is: a. Psychological flexibility. b. Self-control. c. Social learning. d. Self-efficacy. 31. The type of headache that is sometimes or always preceded or accompanied by the transient neurological phenomenon known as an aura is: a. Tension-type. b. Cervicogenic. c. Migraine. d. Cluster. 32. Two factors that are associated with tension-type headaches are: a. Neurological abnormalities and central sensitization. b. Family history and medication use.
a. Osteoporosis. b. Bone cancer. c. Osteoarthritis. d. Osteomyelitis. 22. Night pain is considered a red flag for the possible presence of: a. Cervical myelopathy. b. Tumor or infection. c. Migraine headache. d. Abdominal aortic aneurysm. 23. The statistical ability of a test to correctly identify patients who have a disease or condition is called: 24. Community-dwelling adults with significant unintentional weight loss are often diagnosed with: __________________ _____________________ while institutionalized older adults are most often diagnosed with a ___________________. a. Malignancy, gastrointestinal disorder, or psychiatric disorder; malignancy. b. Infection, malignancy, or gastrointestinal disorder; psychiatric disorder. c. Malignancy, gastrointestinal disorder, or psychiatric disorder; psychiatric disorder. d. Malignancy, gastrointestinal disorder, or psychiatric disorder; infection. 25. Red, orange, and yellow flags are all important parts of the initial physical therapy assessment. Red flags are defined as: a. Cautionary symptoms that warn the therapist to think again about the presenting problem and perhaps to dig deeper into the screening process. b. Diagnoses associated with psychiatric disorders such as depression and anxiety. a. Sensitivity. b. Specificity. c. Likelihood ratio. d. Predictive probability. c. Maladaptive coping skills such as catastrophizing. d. Warnings that features of the client’s medical history or clinical examination are associated with a high risk of serious disorders. 26. The onset of systemic pain is different than the onset of musculoskeletal pain, and this can assist with differential diagnosis. Onset of systemic pain is typically: a. Associated with repetitive motion. b. Recent and sudden. c. Gradual and associated with overload of an affected part. d. Present over years with progression of symptoms.
c. Muscular system and central sensitization. d. Caffeine use and central sensitization.
Course Code: PTNY03DD
Page 67
Book Code: PTNY1024
EliteLearning.com/ Physical-Therapy
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