Differential Diagnosis Practical Study ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Questions exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. What is the best follow-up question for someone
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
who tells you that the pain is constant?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. can you use one finger to point to the pain
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
location?
b. do you have the pain right now?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. does the pain wake you up at night after you have
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
fallen asleep? ||\\||\\
d. Is there anything that makes the better better or
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
worse? - correct answers ✔✔b. do you have the pain ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
right now? ||\\||\\
2. 52-year-old woman with shoulder pain tells you
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
that she has pain at night that awakens her. After
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
asking a series of follow-up questions, you are able to ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,determine that she had trouble falling asleep
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
because her pain increases when she goes to bed. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Once she falls asleep, she wakes up as soon as she ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
rolls onto that side. What is the most likely ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
explanation for this pain behavior? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Minimal distractions heighten a person's
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
awareness of musculoskeletal discomfort. ||\\||\\ ||\\||\\ ||\\||\\
b. This is a systemic pattern that is associated with a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
neoplasm.
c. It is impossible to tell.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. This represents a chronic clinical presentation of a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
musculoskeletal problem. - correct answers ✔✔a. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Minimal distractions heighten a person's awareness ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of musculoskeletal discomfort.
||\\||\\ ||\\||\\
3. Referred pain patterns associated with impairment
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of the spleen can produce musculoskeletal
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
symptoms in: ||\\||\\
,a. left shoulder
||\\||\\ ||\\||\\
b. right shoulder
||\\||\\ ||\\||\\
c. mid-back or upper back, scapular, and right
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
shoulder areas ||\\||\\
d. thorax, scapulae, right shoulder, or left shoulder -
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
correct answers ✔✔a. left shoulder ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. Associated signs and symptoms are a major red
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
flag for pain of a systemic or visceral origin compared
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to musculoskeletal pain.
||\\||\\ ||\\||\\
a. true
||\\||\\
b. false - correct answers ✔✔a. true
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
5. Words used to describe neurogenic pain often
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
include:
, a. throbbing, pounding, beating
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. crushing, shooting, pricking
||\\||\\ ||\\||\\ ||\\||\\
c. aching, heavy, sore
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. agonizing, piercing, unbearable - correct answers
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
✔✔b. crushing, shooting, pricking ||\\||\\ ||\\||\\ ||\\||\\
6. Pain (especially intense bone pain) that is
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
disproportionately relieved by aspirin can be a ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
symptom of: ||\\||\\
a. neoplasm ||\\||\\ ||\\||\\
b. assault or trauma
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. drug dependence
||\\||\\ ||\\||\\
||\\||\\ d. fracture - correct answers ✔✔a. neoplasm
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
7. Joint pain can be a reactive, delayed, or allergic
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
response to: ||\\||\\
Questions exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. What is the best follow-up question for someone
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
who tells you that the pain is constant?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. can you use one finger to point to the pain
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
location?
b. do you have the pain right now?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. does the pain wake you up at night after you have
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
fallen asleep? ||\\||\\
d. Is there anything that makes the better better or
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
worse? - correct answers ✔✔b. do you have the pain ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
right now? ||\\||\\
2. 52-year-old woman with shoulder pain tells you
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
that she has pain at night that awakens her. After
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
asking a series of follow-up questions, you are able to ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,determine that she had trouble falling asleep
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
because her pain increases when she goes to bed. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Once she falls asleep, she wakes up as soon as she ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
rolls onto that side. What is the most likely ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
explanation for this pain behavior? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Minimal distractions heighten a person's
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
awareness of musculoskeletal discomfort. ||\\||\\ ||\\||\\ ||\\||\\
b. This is a systemic pattern that is associated with a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
neoplasm.
c. It is impossible to tell.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. This represents a chronic clinical presentation of a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
musculoskeletal problem. - correct answers ✔✔a. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Minimal distractions heighten a person's awareness ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of musculoskeletal discomfort.
||\\||\\ ||\\||\\
3. Referred pain patterns associated with impairment
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of the spleen can produce musculoskeletal
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
symptoms in: ||\\||\\
,a. left shoulder
||\\||\\ ||\\||\\
b. right shoulder
||\\||\\ ||\\||\\
c. mid-back or upper back, scapular, and right
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
shoulder areas ||\\||\\
d. thorax, scapulae, right shoulder, or left shoulder -
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
correct answers ✔✔a. left shoulder ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. Associated signs and symptoms are a major red
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
flag for pain of a systemic or visceral origin compared
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to musculoskeletal pain.
||\\||\\ ||\\||\\
a. true
||\\||\\
b. false - correct answers ✔✔a. true
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
5. Words used to describe neurogenic pain often
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
include:
, a. throbbing, pounding, beating
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. crushing, shooting, pricking
||\\||\\ ||\\||\\ ||\\||\\
c. aching, heavy, sore
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. agonizing, piercing, unbearable - correct answers
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
✔✔b. crushing, shooting, pricking ||\\||\\ ||\\||\\ ||\\||\\
6. Pain (especially intense bone pain) that is
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
disproportionately relieved by aspirin can be a ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
symptom of: ||\\||\\
a. neoplasm ||\\||\\ ||\\||\\
b. assault or trauma
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. drug dependence
||\\||\\ ||\\||\\
||\\||\\ d. fracture - correct answers ✔✔a. neoplasm
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
7. Joint pain can be a reactive, delayed, or allergic
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
response to: ||\\||\\
