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McGraw-Hill Specialty Board Review Pain Medicine

Salahadin Abdi, Pradeep Chopra, Howard Smith

Chapter 7

Pain Assessmen - all with Video Answers

Educators

Chapter Questions

01:45

Problem 606

Regarding Minnesota Multiphasic Personality Inventory (MMPI) which of the following statement is true?
(A) It has 547 questions
(B) Conversion $\mathrm{V}$ is often present in patients with chronic pain
(C) It can be interpreted by anyone treating the patient
(D) Is not commonly used in evaluation of patients for spinal cord stimulation (SCS) trial
(E) Can point out reliably the psychogenic part of the pain behavior

Alexander Cheng
Alexander Cheng
Numerade Educator

Problem 607

Visual analogue scale (VAS)
(A) correlate highly with pain measured on verbal and numerical rating scales
(B) is minimally intrusive
(C) assumes that pain is a unidemnsional experience
(D) measures the intensity of pain
(E) all of the above

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00:27

Problem 608

Which of the following tests is used as a more objective determination of disability?
(A) The most thoroughly studied is the Sickness Illness Profile
(B) Physical examination is an objective and consistent method of assessing impairment
(C) McGill Pain Questionnaire
(D) Patient's subjective report of pain
(E) MMPI

I O
I O
Numerade Educator

Problem 609

What is the Symptom Checklist 90 (SL-90) and its revised version (SLR-90-R)?
(A) Is a screen for psychologic symptoms and overall levels of distress
(B) Self-report measure of patient's perception of his or her general health status
(C) It is a 136-item scale
(D) It is a measure of one's mood state
(E) It is the most widely used personality test

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00:45

Problem 610

Which of the following tests assess limitations in activities of daily living (ADL)?
(A) Spielberger State-Trait Anxiety Inventory
(B) Oswestry Low Back Pain Disability Questionnaire
(C) Beck Depression Inventory
(D) SL-90
(E) MMPI

Emily Himsel
Emily Himsel
Numerade Educator
05:27

Problem 611

Beck Depression Inventory
(A) is used to look at basic coping styles
(B) is a 21-item self-report measure of depression for the last 30 years
(C) is not commonly used in pain literature
(D) is a measure of malingering
(E) all of the above

YH
Yazeed Hamami
Numerade Educator

Problem 612

In pain assessment
(A) patient's self-report of pain is the most valid measure of the pain experience
(B) behavioral measure of pain is the most valid measurement
(C) the health care provider's observation is the most valid measurement
(D) none of the above
(E) all of the above

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03:08

Problem 613

A conscious exaggeration of physical or psychologic symptoms for some easily recognized goal or secondary gain is
(A) symptom magnification
(B) malingering
(C) hysteria
(D) hypochondriasis
(E) depression

Sarah Howell
Sarah Howell
Numerade Educator

Problem 614

McGill Pain Questionnaire
(A) consists of three major measures
(B) was developed by McGill
(C) is not widely used
(D) is a single-dimensional pain scale
(E) does not ask about the location of pain

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Problem 615

McGill Pain Questionnaire assesses
(1) location of the pain
(2) pattern of the pain over time
(3) sensory, effective component of pain
(4) intensity of the pain

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02:35

Problem 616

Advantages of MMPI-2 include:
(1) It provides 10 clinical scales, 3 validity scales
(2) Is considered the gold standard
(3) Is well-normed and extensively researched
(4) Its test results are easy to interpret

Emily Himsel
Emily Himsel
Numerade Educator
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Problem 617

In evaluating patients for SCS using MMPI Richard North's group noted that
(1) patients with high scores on scale 1 (hypochondriasis)t ended to proceed from SCS trial to implant
(2) patients with higher scores on scale 3 (hysteria) were not offered SCS trial
(3) patients with higher scores on scale 3 (hysteria) had positive short-term but not long-term outcome
(4) patients with high score on scale 1 (hypochondriasis) tended not to proceed from SCS trial to implant

Rashmi Sinha
Rashmi Sinha
Numerade Educator

Problem 618

In regard to MMPI as a predictor of treatment outcome
(1) it is standardized on chronic pain patients
(2) it is based on common diagnoses of 1930 s
(3) can be used alone in assessment of pain patients
(4) items overlapping a great degree across the 10 clinical scales

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Problem 619

Multidimensional pain assessment inventories include
(1) pain disability index
(2) illness behavior questionnaire
(3) Sickness Impact Profile, West HavenYale Multidimensional Pain Inventory
(4) Dallas Pain Questionnaire

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Problem 620

Regarding pain scores on the numeric rating scale
(1) decreased pain scores suggest positive outcome from the treatment of pain
(2) it should be used only occasionally
(3) it correlates highly with pain measured on in verbal scale and VAS
(4) correlates highly with anxiety and depression

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Problem 621

Regarding SF-36
(1) yields scores on 10 health scales relating to physical, social, and emotional factors
(2) is easily administered
(3) does not have gender or age norms
(4) has been used to compare patient and surgeon assessment regarding the outcome of lumbar disc surgery

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Problem 622

Physiologic correlations of pain (eg, heart rate and blood pressure)
(1) are nonspecific to pain
(2) many habituate with time despite presence of pain
(3) occur under conditions of general arousal and stress
(4) is a great way of measuring the intensity of pain

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Problem 623

According to Melzack and Casey (1968) the three major psychologic dimensions of pain are
(1) sensory discriminative
(2) cognitive evaluative
(3) motivational affective
(4) past experiences

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Problem 624

The most frequently used self-rating instruments for measurement of pain in a clinical setting are
(1) VAS
(2) behavioral observational scales
(3) McGill Pain Questionnaire
(4) physiologic responses

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Problem 625

Cognitively impaired elderly patients
(1) do not respond to pain assessment questionnaire
(2) do respond appropriately if given VAS or numerical rating scale (NRS)
(3) malingering by an elderly patient may be an attempt to divert attention away from possible need for institutionalization
(4) there are guidelines available for elderly patients with dementia

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