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DPT 6210 Weeks 3-4

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True or False: There is a high correlation between physical pathology and associated pain and disability. - False There is little relationship between a patient's pathology and associated pain. Imaging tells us very about simple backache. Which of the following is NOT a potential pain generator...

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  • April 22, 2023
  • 18
  • 2022/2023
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DPT 6210 Weeks 3-4
True or False: There is a high correlation between physical pathology and associated pain and

disability. - ✔✔False



There is little relationship between a patient's pathology and associated pain. Imaging tells us

very about simple backache.



Which of the following is NOT a potential pain generator in the lumbar spine?

A) muscles and ligaments

B) nerve roots

C) joints

D) fascia

E) none of the above - ✔✔E) none of the above



Muscles, ligaments, dura mater, nerve roots, zygapophyseal joints, SI joint, annulus fibrosis,

thoracolumbar fascia, and vertebrae are all potential pain generators.



A 23 yo patient is complaining of a band of pain down the back of her leg that she describes as

being a deep, shooting pain. This best describes which condition?

A) somatic pain

B) radicular pain

C) radiculopathy

,D) paresthesia - ✔✔B) radicular pain



Radicular pain is a sharp, shooting pain that can be either superficial or deep in a defined band

that is less than 4cm.



You suspect your patient has radiculopathy. Which of the following sets of symptoms led you to

that diagnosis?



A) shooting pain and muscle weakness

B) aching pain in a general area

C) numbness and deep, sharp pain

D) radiating paresthesia and muscle weakness - ✔✔D) radiating parasthesia and muscle

weakness



Radiculopathy is characterized by radiating paresthesia, numbness in a dermatome, weakness in

a myotome, BUT NOT PAIN.



A 45 yo patient is complaining about LBP. She describes the pain as being an aching pain all

over her lower back. She is most likely suffering from:



A) somatic pain

B) compressed nerve

C) radicular pain

, D) radiculopathy - ✔✔A) somatic pain



Somatic pain is poorly localized and is an aching pain.



Noncontractile tissue pain can be generator by all of the following except:



A) nerve root

B) muscles

C) joints

D) fascia

E) none of the above - ✔✔B) muscles



Examples of noncontracile pain generators: nerve roots, discogenic pain, zygapophyseal joints

(facet joint syndrome), SI joint, ligament and fascia, vertebrae



Patient presents with shooting leg pain that is due to an inflammed nerve root. This condition is

known as



A) annulus fibrosus

B) herniated disc

C) sciatica

D) facet joint syndrome - ✔✔C) sciatica

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