Back Pain Chronic Back Pain Management

Question 1

Chronic low back pain is generally defined as pain lasting longer than how many weeks?

Accepted Answer

12 weeks

Answer

2 weeks

Answer

4 weeks

Answer

6 months

Question 2

Central sensitization in chronic back pain refers to which pathophysiological process?

Accepted Answer

Amplification of neural signaling in the CNS leading to heightened pain perception

Answer

Structural disc collapse

Answer

Peripheral nerve injury only

Answer

Reduction in inflammatory mediators

Question 3

The Fear-Avoidance Model of chronic back pain suggests that which behavior perpetuates disability?

Accepted Answer

Avoiding movement due to fear of re-injury

Answer

Overexercising despite pain

Answer

Seeking immediate surgical care

Answer

Using NSAIDs long-term

Question 4

Which interdisciplinary program is most effective for patients with chronic back pain and significant psychosocial disability?

Accepted Answer

Interdisciplinary pain rehabilitation program (IPRP)

Answer

Passive massage therapy only

Answer

Immediate spinal surgery

Answer

Rest and NSAID therapy

Question 5

Which validated questionnaire measures disability related to low back pain in clinical and research settings?

Accepted Answer

Oswestry Disability Index (ODI)

Answer

PHQ-9

Answer

AUDIT-C

Answer

GAD-7

Question 6

Duloxetine (Cymbalta) is used in chronic back pain management primarily because of its mechanism as a:

Accepted Answer

Serotonin-norepinephrine reuptake inhibitor (SNRI) with central pain modulation

Answer

NSAID

Answer

Muscle relaxant

Answer

Opioid receptor agonist