Assessment of Neck Pain questions and
100% verified correct answers
what do the guidelines say about assessment for neck pain? - Correct Answer
Clinicians should perform assessments and identify clinical findings in patients with
neck pain to determine the potential for the presence of serious pathology and refer for
consultation as indicated.
what are some serious pathologies in the neck? - Correct Answer infection, cancer,
cardiac involvement, arterial insufficiency, upper cervical ligamentous insufficiency,
unexplained cranial nerve dysfunction or fracture
what are some specific questions to ask to identify serious/specific causes of neck
pain? - Correct Answer - headache
- radiating pattern down arms
- dizziness
- nausea
if there is new bladder/bowel disturbance, there is a change it could be due to... -
Correct Answer central canal spinal stenosis
____ fractures are less likely in cervical spine, however, ______ fractures are more
likely - Correct Answer osteoporotic
traumatic
when identifying serious/specific problems associated with neck pain, consider..... (5) -
Correct Answer cervical myelopathy
vertebrobasilar insufficiency (5Ds and 3Ns)
cancer
infection
fracture
what are signs of cervical myelopathy? - Correct Answer - bilateral or multisegmental
weakness
- numbness
- loss of fine motor skills
- Lhermitte's sign
- UMN signs in upper and lower limbs
- Upper and lower extremity deficits
what are the 5Ds and 3Ns? - Correct Answer - Dizziness
- Diplopia (double vision)
- Dysphagia (trouble swallowing)
- Dysarthria (trouble speaking)
, - Drop attack (collapse to ground with no LoC)
- Nystagmus (involuntary rapid eye movement)
- Numbness
- Nausea
vertebrobasilar insufficiency has a ____ mechanism - Correct Answer traumatic
what may be signs of cancer? - Correct Answer - unremitting night pain
- weight loss
- history of cancer that metastesizes to bone
what are signs of infection? - Correct Answer fever
malaise
recent spinal procedure
IV drug use
what do the guidelines say for assessment of neck pain? - Correct Answer clinicians
should use validated self-report questionnaires to identify baseline states and to monitor
changes relative to pain, function, disability and psychological functioning
clinicians should utilize easily reproducible activity limitation and participation restriction
measures associated with the patient's neck pain to assess changes in the patient's
level of ____ over the episode of care - Correct Answer function
what are validated self-report questionnaires for neck pain? - Correct Answer NPRS &
VAS
NDI
what is the NPRS? VAS? NDI? - Correct Answer numeric pain rating scale
visual analogue scale
neck disability index
NPRS and VAS demonstrate good ___ and ____ for measuring pain intensity in people
with neck pain - Correct Answer reliability
validity
what is the MCID for NPRS/VAS? - Correct Answer 1.5 - 2.5 cm/points on a 10cm/point
scale (use 2cm/points)
length of ___ time has a significant influence on findings in NPRS and VAS - Correct
Answer recall
what do you need to make sure of when administering NPRS or VAS? - Correct Answer
be specific about whether you are asking about pain at rest, during activity, or on
average over a period of time
100% verified correct answers
what do the guidelines say about assessment for neck pain? - Correct Answer
Clinicians should perform assessments and identify clinical findings in patients with
neck pain to determine the potential for the presence of serious pathology and refer for
consultation as indicated.
what are some serious pathologies in the neck? - Correct Answer infection, cancer,
cardiac involvement, arterial insufficiency, upper cervical ligamentous insufficiency,
unexplained cranial nerve dysfunction or fracture
what are some specific questions to ask to identify serious/specific causes of neck
pain? - Correct Answer - headache
- radiating pattern down arms
- dizziness
- nausea
if there is new bladder/bowel disturbance, there is a change it could be due to... -
Correct Answer central canal spinal stenosis
____ fractures are less likely in cervical spine, however, ______ fractures are more
likely - Correct Answer osteoporotic
traumatic
when identifying serious/specific problems associated with neck pain, consider..... (5) -
Correct Answer cervical myelopathy
vertebrobasilar insufficiency (5Ds and 3Ns)
cancer
infection
fracture
what are signs of cervical myelopathy? - Correct Answer - bilateral or multisegmental
weakness
- numbness
- loss of fine motor skills
- Lhermitte's sign
- UMN signs in upper and lower limbs
- Upper and lower extremity deficits
what are the 5Ds and 3Ns? - Correct Answer - Dizziness
- Diplopia (double vision)
- Dysphagia (trouble swallowing)
- Dysarthria (trouble speaking)
, - Drop attack (collapse to ground with no LoC)
- Nystagmus (involuntary rapid eye movement)
- Numbness
- Nausea
vertebrobasilar insufficiency has a ____ mechanism - Correct Answer traumatic
what may be signs of cancer? - Correct Answer - unremitting night pain
- weight loss
- history of cancer that metastesizes to bone
what are signs of infection? - Correct Answer fever
malaise
recent spinal procedure
IV drug use
what do the guidelines say for assessment of neck pain? - Correct Answer clinicians
should use validated self-report questionnaires to identify baseline states and to monitor
changes relative to pain, function, disability and psychological functioning
clinicians should utilize easily reproducible activity limitation and participation restriction
measures associated with the patient's neck pain to assess changes in the patient's
level of ____ over the episode of care - Correct Answer function
what are validated self-report questionnaires for neck pain? - Correct Answer NPRS &
VAS
NDI
what is the NPRS? VAS? NDI? - Correct Answer numeric pain rating scale
visual analogue scale
neck disability index
NPRS and VAS demonstrate good ___ and ____ for measuring pain intensity in people
with neck pain - Correct Answer reliability
validity
what is the MCID for NPRS/VAS? - Correct Answer 1.5 - 2.5 cm/points on a 10cm/point
scale (use 2cm/points)
length of ___ time has a significant influence on findings in NPRS and VAS - Correct
Answer recall
what do you need to make sure of when administering NPRS or VAS? - Correct Answer
be specific about whether you are asking about pain at rest, during activity, or on
average over a period of time
