Neck Pain in Adults _________________________________________________________________________
30. The cervical spinal structure considered the greatest contributor to chronic WAD pain is the (A) facet joints.
37. Systematic reviews of guideline-recommended analgesics for back and neck pain show no benefit to treatment with (A) tramadol. (B) venlafaxine.
(B) foraminal space. (C) annulus fibrosus. (D) intervertebral disks.
(C) acetaminophen. (D) muscle relaxants.
31. Neuropathic pain is best described as caused by (A) a lesion or disease in nerve structures. (B) spinal cord or nerve root lesion or disease. (C) a lesion, disease, dysfunction, or inappropriate signaling of any nerve fibers. (D) post-herpetic neuralgia, diabetic neuropathy, and other neuropathic disorders. 32. Which of the following is an assessment tool that helps identify a neuropathic component in chronic low back pain considered nociceptive? (A) The S-LANSS (B) Numerical Pain Rating Scale
38. Due to risks of gastrointestinal and cardiovascular side effects, the lowest effective dose for the shortest duration possible is recommended for (A) opioids. (B) gabapentinoids. (C) tricyclic antidepressants. (D) nonsteroidal anti-inflammatory drugs (NSAIDs). 39. Aside from potential side effects, which antidepressant may be most effective in chronic pain? (A) Duloxetine
(B) Milnacipran (C) Desipramine (D) Amitriptyline
(C) Impact of Events Scale-Revised (IES-R) (D) The painDETECT questionnaire (PDQ)
33. In patients with neck pain, Down syndrome is a potential red flag for (A) metastases.
40. Which of the following is an antiepileptic drug widely studied and used in chronic low back pain?
(A) Diazepam (B) Pregabalin (C) Topiramate (D) Oxcarbazepine
(B) spondylodiskitis. (C) vertebral fracture. (D) atlantoaxial subluxation.
34. Which of the following tools should be used to identify and measure kinesiophobia in patients with neck pain? (A) Visual Analog Scale (VAS)
41. In appropriate patients considered for opioid analgesic therapy, prescribing safety is greatly increased by (A) intervention for their opioid use disorder. (B) pre-screening for history of substance use disorder. (C) great caution, or avoidance of, co-prescribing CNS depressants. (D) Both B and C 42. The opioid that may have the most favorable balance of efficacy and safety in chronic neck pain is
(B) Pain Catastrophizing Scale (PCS) (C) Fear Avoidance of Pain Scale (FAPS) (D) Patient Health Questionnaire-9 (PHQ-9)
35. In most patients with acute neck pain,
(A) pathologic imaging findings often do not change the treatment course. (B) imaging findings should correlate with patient history and physical exam findings. (C) education should be provided with imaging discussions to minimize patient fixation on imaging. (D) All of the above 36. The imaging modality of choice for soft tissue abnormalities and potential neurologic compromise of the cervical spine is (A) CT.
(A) Oxycodone (B) Methadone (C) Tapentadol (D) Cebranopadol
43. Which of the following is TRUE of cervical spine manipulation and mobilization therapy? (A) Both may be more effective when combined with exercise therapy. (B) Both show broadly similar reductions in acute and chronic neck pain. (C) High-velocity, low-amplitude thrust to the cervical spine is linked to rare but severe vascular accidents. (D) All of the above
(B) MRI. (C) x-ray. (D) cervical diskography.
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MDKY1626
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