1. Choose the correct statement below regarding lifestyle-based nonpharmacologic treatments for pain.
A. Smoking cessation alone does not improve pain
B. Better sleep can improve pain control and mood symptoms
C. Lifestyle changes often lead to safety concerns or patient harm
D. Exercise should be avoided since physical activity can worsen pain
E. Unsure
2. Which of the following activities is likely to be performed by a physical therapist?
A. Virtual reality
B. Laser acupuncture
C. Cognitive behavioral therapy
D. Assessing muscle and joint function
E. Unsure
3. Choose the correct mind-body therapy description below.
A. Music therapy helps the patient manage pain-related mood changes
B. Mindfulness helps the patient focus on positive and negative reinforcement
C. Relaxation techniques help the patient increase activity of the sympathetic nervous system
D. Cognitive behavioral therapy helps the patient improve their pain-related thinking and actions
E. Unsure
4. Which of the following is an appropriate patient counseling point?
A. Heat can be applied directly over the site of a surgical incision
B. Use a barrier between ice and skin to prevent tissue damage
C. It is okay to use a heating pad while sleeping at night
D. Ice should only be used for 3 to 5 minutes at a time
E. Unsure
5. A patient with chronic low back pain asks you for advice about using a transcutaneous electrical nerve stimulation (TENS) device. Which of the following is an appropriate response?
A. TENS units require a prescription
B. Electrodes can be placed anywhere on the body
C. Implanted devices are a contraindication to using TENS
D. Efficacy of TENS is well-established based on multiple studies
E. Unsure
6. Which of the following is the most comprehensive multimodal analgesic regimen for a patient with chronic pain?
A. Biofeedback, water aerobics, ibuprofen
B. Acetaminophen, topical lidocaine, intranasal fentanyl
C. Cognitive behavioral therapy, hypnosis, spiritual practices
D. Smoking cessation, anti-inflammatory diet, moderate alcohol use
E. Unsure
7. For which of the following patients would starting a nonpharmacologic pain treatment be appropriate?
A. A 59-year-old patient with chronic neck pain, currently taking hydromorphone
B. A 16-year-old patient with a football injury, currently taking acetaminophen
C. A 42-year-old patient with mild osteoarthritis of the hand, no current treatment
D. All of the above
E. Unsure
8. Which of the following is a potential disadvantage of nonpharmacologic treatments for pain?
A. They may not be covered by insurance plans
B. Many are associated with serious safety concerns
C. Traditional medicine providers may not support their use
D. Patients may self-select strategies that will actually worsen their pain
E. Unsure
9. A 37-year-old patient has recently been experiencing more severe symptoms of fibromyalgia. She exercises regularly and occasionally visits an acupuncturist. She has tried several herbal medications but does not want to start a prescription medication. Which of the following treatments would be most likely to help if added to her current regimen?
A. Tai Chi
B. Virtual reality
C. Myofascial release massage
D. Guided relaxation
E. Unsure
10. A 66-year-old patient with low back pain due to degenerative disc disease was recently referred to physical therapy after experiencing worsening pain over the past 3 months. The patient's medical history includes obesity (weight 105 kg), chronic obstructive pulmonary disease, hypertension, and hyperlipidemia. Current pain treatments include heat, naproxen, and tramadol. Which of the following interventions would likely provide the most health benefits?
A. Yoga
B. Weight loss
C. Acupuncture
D. Biofeedback
E. Unsure