MSC II Exam 3 ACTUAL Questions
and Correct answers
myofascial pain syndrome - CORRECT ANSWER✅✅✅"a group of symptoms which
consistently occur together, or a condition characterized by a set of associated symptom"
• Not a structural Diagnosis.
Trigger points (Myofascial Pain Syndrome) - CORRECT ANSWER✅✅✅• Hyperirritable
spot, taut & palpable band
• Local pain with compression
• Twitch response with snapping palpation
• Characteristic referred pain
NO - CORRECT ANSWER✅✅✅is Myofascial Pain Syndrome an inflammatory lesion?
NO (differentiate from fibromyalgia) - CORRECT ANSWER✅✅✅is Myofascial Pain
Syndrome systemic?
Epidemiology of MPD - CORRECT ANSWER✅✅✅• "Frequent" cause of musculoskeletal
pain
• In 164 pts referred for chronic head/neck pain
Myofascial Pain Syndrome - CORRECT ANSWER✅✅✅• Onset may be insidious or acute
• Inciting events
• Trauma
• Emotion, stress
• Fatigue, posture
• Hormonal changes
,dull and aching - CORRECT ANSWER✅✅✅what is the pain pattern for Myofascial Pain
Syndrome?
May have pain referred into head, arms, midscapular region - CORRECT
ANSWER✅✅✅where does pain refer to with Myofascial Pain Syndrome? (3)
this is variable - CORRECT ANSWER✅✅✅with Myofascial Pain Syndrome, is there
mobility loss?
this is variable - CORRECT ANSWER✅✅✅with Myofascial Pain Syndrome is the muscle
length/steength impairments?
upper crossed syndrome - CORRECT ANSWER✅✅✅what is found posturally with
Myofascial Pain Syndrome?
no if it is only MPS - CORRECT ANSWER✅✅✅will there be neuro impairments with
Myofascial Pain Syndrome?
trigger point (MPS) - CORRECT ANSWER✅✅✅• Taut, palpable band in muscle
• Tenderness along the band
• Twitch response with transverse palpation
• Pain referral with TP palpation
reproducing symptoms when palpating a muscle where the pain refers to the patterns in Travell
and Simon) - CORRECT ANSWER✅✅✅how would you know if an individual is (+) for
trigger points?
no - CORRECT ANSWER✅✅✅in MPS, do pain patterns follow dermatome levels?
• Patient education & counseling
,• Manual therapy
• Exercise - CORRECT ANSWER✅✅✅what 3 main interventions should be used in PT for
MPS?
• Postural correction (Verbal + Demonstration)
• Ergonomics - CORRECT ANSWER✅✅✅what Patient education & counseling should be
used for MPS? (2)
• Ischemic compression
• Myofascial release
• Dry Needling - CORRECT ANSWER✅✅✅what Manual therapy techniques should be
used for MPS? (3)
• Muscle stretching/strengthening as indicated for posture
• Stretch and spray (ethyl chloride, fluorimethane)
• Aerobic exercise - CORRECT ANSWER✅✅✅what exercise techniques should be used for
MPS? (3)
Non-musculoskeletal headache - CORRECT ANSWER✅✅✅headache type that are:
• Migraines
• Vascular
• Ocular
• Space occupying lesion (tumor)
• Tension (stress)
• Medication side-effect
• Alcohol or substance abuse
• Infection: viral/bacterial
• Exercise related
• Psychological
, across the forehead bilaterally - CORRECT ANSWER✅✅✅where is Cervical muscle
tension headache pain seen?
Cervical muscle tension headache - CORRECT ANSWER✅✅✅type of headache that is
trigger point induced=
Cervical muscle tension headahce - CORRECT ANSWER✅✅✅impingement of
• Greater occipital nerve
• Convergence of upper cervical afferents & trigeminal nerve afferents
• Bidirectional referral of pain from neck and head
A. At least 10 episodes of headache occurring on<1day/month on average (<12 days/year) and
fulfill-ing criteria B-D
B. Lasting from 30 minutes to seven days
C. At least two of the following four characteristics:
-. bilateral location
-. pressing or tightening (non-pulsating) quality
-. mild or moderate intensity
-. not aggravated by routine physical activitysuch as walking or climbing stairs
D. Both of the following:
-. no nausea or vomiting
-. no more than one of photophobia or phonophobia - CORRECT ANSWER✅✅✅what is
the diagnostic criteria for a Cervical muscle tension? (4)
forward head/forward shoulder - CORRECT ANSWER✅✅✅what postural impairments
cause a Cervical muscle tension headache?
weak deepcervical flexors, scapular stabilizers - CORRECT ANSWER✅✅✅what muscle
strength impairments cause a Cervical muscle tension headache?
and Correct answers
myofascial pain syndrome - CORRECT ANSWER✅✅✅"a group of symptoms which
consistently occur together, or a condition characterized by a set of associated symptom"
• Not a structural Diagnosis.
Trigger points (Myofascial Pain Syndrome) - CORRECT ANSWER✅✅✅• Hyperirritable
spot, taut & palpable band
• Local pain with compression
• Twitch response with snapping palpation
• Characteristic referred pain
NO - CORRECT ANSWER✅✅✅is Myofascial Pain Syndrome an inflammatory lesion?
NO (differentiate from fibromyalgia) - CORRECT ANSWER✅✅✅is Myofascial Pain
Syndrome systemic?
Epidemiology of MPD - CORRECT ANSWER✅✅✅• "Frequent" cause of musculoskeletal
pain
• In 164 pts referred for chronic head/neck pain
Myofascial Pain Syndrome - CORRECT ANSWER✅✅✅• Onset may be insidious or acute
• Inciting events
• Trauma
• Emotion, stress
• Fatigue, posture
• Hormonal changes
,dull and aching - CORRECT ANSWER✅✅✅what is the pain pattern for Myofascial Pain
Syndrome?
May have pain referred into head, arms, midscapular region - CORRECT
ANSWER✅✅✅where does pain refer to with Myofascial Pain Syndrome? (3)
this is variable - CORRECT ANSWER✅✅✅with Myofascial Pain Syndrome, is there
mobility loss?
this is variable - CORRECT ANSWER✅✅✅with Myofascial Pain Syndrome is the muscle
length/steength impairments?
upper crossed syndrome - CORRECT ANSWER✅✅✅what is found posturally with
Myofascial Pain Syndrome?
no if it is only MPS - CORRECT ANSWER✅✅✅will there be neuro impairments with
Myofascial Pain Syndrome?
trigger point (MPS) - CORRECT ANSWER✅✅✅• Taut, palpable band in muscle
• Tenderness along the band
• Twitch response with transverse palpation
• Pain referral with TP palpation
reproducing symptoms when palpating a muscle where the pain refers to the patterns in Travell
and Simon) - CORRECT ANSWER✅✅✅how would you know if an individual is (+) for
trigger points?
no - CORRECT ANSWER✅✅✅in MPS, do pain patterns follow dermatome levels?
• Patient education & counseling
,• Manual therapy
• Exercise - CORRECT ANSWER✅✅✅what 3 main interventions should be used in PT for
MPS?
• Postural correction (Verbal + Demonstration)
• Ergonomics - CORRECT ANSWER✅✅✅what Patient education & counseling should be
used for MPS? (2)
• Ischemic compression
• Myofascial release
• Dry Needling - CORRECT ANSWER✅✅✅what Manual therapy techniques should be
used for MPS? (3)
• Muscle stretching/strengthening as indicated for posture
• Stretch and spray (ethyl chloride, fluorimethane)
• Aerobic exercise - CORRECT ANSWER✅✅✅what exercise techniques should be used for
MPS? (3)
Non-musculoskeletal headache - CORRECT ANSWER✅✅✅headache type that are:
• Migraines
• Vascular
• Ocular
• Space occupying lesion (tumor)
• Tension (stress)
• Medication side-effect
• Alcohol or substance abuse
• Infection: viral/bacterial
• Exercise related
• Psychological
, across the forehead bilaterally - CORRECT ANSWER✅✅✅where is Cervical muscle
tension headache pain seen?
Cervical muscle tension headache - CORRECT ANSWER✅✅✅type of headache that is
trigger point induced=
Cervical muscle tension headahce - CORRECT ANSWER✅✅✅impingement of
• Greater occipital nerve
• Convergence of upper cervical afferents & trigeminal nerve afferents
• Bidirectional referral of pain from neck and head
A. At least 10 episodes of headache occurring on<1day/month on average (<12 days/year) and
fulfill-ing criteria B-D
B. Lasting from 30 minutes to seven days
C. At least two of the following four characteristics:
-. bilateral location
-. pressing or tightening (non-pulsating) quality
-. mild or moderate intensity
-. not aggravated by routine physical activitysuch as walking or climbing stairs
D. Both of the following:
-. no nausea or vomiting
-. no more than one of photophobia or phonophobia - CORRECT ANSWER✅✅✅what is
the diagnostic criteria for a Cervical muscle tension? (4)
forward head/forward shoulder - CORRECT ANSWER✅✅✅what postural impairments
cause a Cervical muscle tension headache?
weak deepcervical flexors, scapular stabilizers - CORRECT ANSWER✅✅✅what muscle
strength impairments cause a Cervical muscle tension headache?
