LOW BACK PAIN INITIAL MCQ - Bradford VTS
LOW BACK PAIN MCQ
1. Low back pain is generally understood to become ‘chronic’ after a period of how long?
• 6 weeks
• 12 weeks
• 20 weeks
2. What proportion of the population will develop low back pain at some time their lives?
• 20%
• 50%
• 70%
• 90%
3. At what age does low back pain occur most commonly?
• 20-30 years
• 35-55 years
• 50-65 years
4. What proportion of low back pain sufferers go on to develop chronic low back pain?
• 10%
• 2-7%
• 20%
• 5-10%
5. How much radiation is involved in a plain lumbar spine X-ray compared to a chest X-ray?
• Equal amounts
• Lumbar spine = 2 x Chest X-Ray
• Lumbar spine = 20 x Chest X-Ray
• Lumbar spine = 150 x Chest X-Ray
6. What is the role of psychosocial factors in chronic low back pain?
• Psychosocial factors only come into play when the low back pain is very prolonged
• Psychosocial factors influence response to treatment and rehabilitation
• Biomedical factors are more important than psychosocial factors in determining chronicity
7. The following drugs should be considered of value in the management of acute low back pain:
• Paracetamol
• NSAIDs
• Muscle relaxants
• Narcotic analgesics
8. Which of the following are ‘red flags’ for possible serious spinal pathology?
• Age over 55
• Anorexia
• Systemic steroid therapy
• Difficulty with micturition
• Cough-impulse pain
9. What are the risk factors for chronicity?
• Previous history of low back pain
• Nerve root signs
• Medico-legal compensation claim
• Heavy smoking
• Depressive symptoms
10. For which of the following interventions is there overall evidence of benefit?
• Activity (avoidance of bed rest)
• NSAIDs
• Epidural injections
• Back exercises
• Traction
•
11. In the management of chronic back pain which interventions are known to be beneficial for some patients?
• Advice to stay active
• Epidural corticosteroid injections
• NSAIDs
• Spinal manipulation
• Microdiscectomy
12. Which features suggest nerve root pain?
• Radiation to foot
• Reduced straight leg raising causing back pain
• Weakness in both feet
• Numbness and paraesthesiae radiating to the foot or toes
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