Changing of the Guard: Effective Pain Management Strategies to Impact Opioid Prescribing Practices A passing score of 8 out of 10 is required to receive a certificate of attendance for this course worth 2 CEUs.You will received your certificate of attendance via e-mail within 1 week of passing the post test. Webinar Recorded on May 4, 2020 Post Test and Evaluation Name First Last Email Date you watched the webinar:1- The Joint Commissions current stance on pain is that it should:* a. be considered the 5th vital sign and should be measured using the 0-10 pain scale b. be considered the 5th vital sign and should be assessed in an appropriate manner c. not be considered the 5th vital sign but should still be measured using the 0-10 pain scale d. not be considered the 5th vital sign but should still be assessed in an appropriate manner 2- A 26-year-old female with a chief complaint of insidious onset low back pain of 2-years’ duration presents to an outpatient physical therapy department with a medical diagnosis of “Non-specific low back pain”. She recalls no precipitating injury event and no unusual findings were noted on either MRI or laboratory blood values. She expresses despair at having no anatomical pathology because her pain is severe. She has lived in transitional housing for 18-months after serving a 4-year prison sentence. She reports a history of repeated sexual trauma as a teenager. Based on this information, which of the following is the most important area to investigate further?* a. Fear-avoidance beliefs b. Lumbar somatic dysfunction c. Visceral dysfunction d. Mental illness 3- A 33-year-old male presents in an acute care hospital 3 days post MVA with a medical diagnosis of L2 anterior vertebral body compression fracture. He was given intravenous opioids on arrival when he was in extreme pain and he has been using a patient-controlled analgesia pump since that time. He has a 15-year history of anxiety and has been taking a benzodiazepine (Xanax) for the last 12 years. Compared with a similar patient who does not have a history of anxiety, this patient is at much higher statistical risk for which of the following?* a. Opioid Use Disorder b. Malingering c. Genetic abnormality of the Mu receptor OPRM1 d. A history of sexual trauma 4- A 52-year-old female presents to an outpatient physical therapy clinic via direct access with a chief complaint of low back pain for 2 weeks after awkwardly lifting a heavy object. Her score on the STarT Back Screening Tool is in the high-risk category for persistent disabling symptoms. Of the following, the best course of care according to the current best evidence is for referral to a physical therapist for:* a. usual care b. care that incorporates principles of cognitive behavioral therapy c. care that incorporates quota-based exercises d. care that incorporates thrust joint manipulation techniques 5- Which of the following is true regarding opioid use?* a. The risk of opioid addiction increases with time b. Some pharmaceutical grade opioids have successfully been designed to prevent addiction c. Opioid use is an indicator of mental illness d. Stigma regarding opioid use decreases the likelihood that people will seek opioids 6. According to the current best evidence, a regimen utilizing which of the following approaches to low back pain has the strongest evidence supporting its use in the treatment of people suffering from non-specific low back pain?* a. A combination of passive modalities and exercise b. Monitoring the patient’s pain rating at the beginning and end of each session c. A combination of thrust joint manipulation and exercise d. A detailed explanation of the anatomical problem so the patient can understand their condition 7. Which of the following groups of thoroughly-studied treatment interventions provide the strongest approach for the treatment of low back pain according to the current best evidence?* a. Craniosacral therapy, therapeutic ultrasound, kinesiotaping b. Dry needling, low-level laser therapy, therapeutic ultrasound c. Postural education, ergonomic training, and detailed pathoanatomical education d. Spinal manipulative therapy, exercise, pain neuroscience education 8. Which of the following groups of thoroughly-studied treatment interventions consist entirely of approaches that provide no clinical benefit for the treatment of low back pain?* a. Craniosacral therapy, therapeutic ultrasound, kinesiotaping b. Dry needling, low-level laser therapy, therapeutic ultrasound c. Postural education, ergonomic training, and detailed pathoanatomical education d. Spinal manipulative therapy, exercise, pain neuroscience education 9. According to the current best evidence in the treatment of low back pain, physical therapy can be effective for which of the following?* a. To decrease the use of opioids b. To decrease the use of all pharmaceutical medications c. To improve the presurgical likelihood of success with spinal surgery d. All of the above 10. The CDC Guideline for Prescribing Opioids for Chronic Pain admonish physicians to do which of the following?* a. Reduce the use of opioids in favor of safer alternatives like physical therapy b. Prescribe opioids prior to less convenient alternatives like physical therapy c. Prescribe non-opioid medication prior to less convenient alternatives like physical therapy d. Order an MRI to help inform physical therapy treatment planning Evaluation of SpeakerPoorBelow AverageAverageAbove AverageExcellentSpeaker was effective in deliverySpeaker was knowledgeablePlease Rate the FollowingPoorBelow AverageAverageAbove AverageExcellentCourse consistent with descriptionCourse objectives successfully achievedThe overall session was valuableSuggestions to Improve CourseWould you like someone to contact you from the chapter?