Kentucky Physician Ebook Continuing Education

_________________________________________________________________________ Neck Pain in Adults

44. Cervical traction may relieve pain from (A) fracture. (B) dislocation. (C) soft-tissue injury. (D) nerve root compression with radiculopathy.

48. Following a course of acupuncture treatment for chronic pain, (A) few if any benefits persist after one month. (B) at least 50% of benefits may persist 12 months later. (C) the full immediate benefits last longer than one year. (D) persistent benefits require multiple courses of treatment. 49. In chronic cervical facet joint pain, the interventional approach with demonstrated long-term pain reduction efficacy is (A) coblation nucleoplasty. (B) epidural steroid injections. (C) percutaneous disk decompression. (D) medial branch radiofrequency neurotomy.

45. In patients with chronic neck pain, a possible large- magnitude long-term benefit on pain is suggested with (A) scapulothoracic and upper extremity endurance training. (B) cervico-scapulothoracic strengthening/stabilization exercises. (C) cervico-scapulothoracic and upper extremity strength training. (D) combined cervical, shoulder, and scapulothoracic strengthening and stretching exercises. 46. In patients with chronic nonspecific neck pain, stabilization exercises (A) alone are most effective. (B) are more effective than manual therapy. (C) are more effective than connective tissue massage. (D) plus manual therapy or connective tissue massage is more effective than stabilization exercises alone. 47. Which of the following statements regarding exercise therapy for chronic WAD pain is TRUE? (A) General exercise is ineffective due to impaired analgesic response. (B) Exercise is effective when directed at painful muscles and cervical structures. (C) Aerobic exercise should be recommended for pain reduction in all patients with WAD. (D) General exercise is as effective in chronic neck pain as all other musculoskeletal pain conditions.

50. Trigger point injection is most commonly used in, and most effective for,

(A) radicular pain. (B) myofascial pain.

(C) progressive myelopathy. (D) cervical diskogenic pain.

Course Code: MDKY10NP

67

MDKY1626

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